Justin Formanek, CMT

NPI 1871340638 · on the registry since 2024 · sole proprietor

Practice

Address: 28720 Roadside Dr Ste 177
Agoura Hills, CA 91301
Phone: (805) 586-5934
Organisation at this address: Malibu Pathology
Present Mind Pmcc
Vivid Care Home Health
Century Surgical Center
Michael E Steuer, Md, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California