NPI 1336086057

Eddie Velasquez

Practitioner Massage Therapist San Pedro, CA

Practice location

Address: 28118 S Western Ave STE 117, San Pedro, CA 90732-1248
Phone: (323) 241-7004
Mailing address: 2362 Lomita Blvd APT 3, Lomita, CA 90717-1424

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 100226 (CA)

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Registry record

NPI: 1336086057
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2026
Record last updated: 30 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.