Monique D'lisa Gray, is a
Massage Therapist based in Culver City, California. Monique D'lisa Gray is licensed to practice in California (license number 82712) and her current practice location is
6666 Green Valley Cir, Culver City, California. She can be reached at her office (for appointments etc.) via phone at
(310) 846-5270.
NPI number for Monique D'lisa Gray is 1821374620 and her current mailing address is 6666 Green Valley Cir, Culver City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821374620.
Healthcare Provider's Profile
| Full Name | Monique D'lisa Gray |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 6666 Green Valley Cir, Culver City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821374620
- Provider Enumeration Date: 10/25/2011
- Last Update Date: 08/30/2022
Medical Identifiers
Medical identifiers for Monique D'lisa Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821374620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | 82712 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Monique D'lisa Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Monique D'lisa Gray,
6666 Green Valley Cir,
Culver City, CA 90230-7068
Ph: (310) 846-5270 | Monique D'lisa Gray,
6666 Green Valley Cir,
Culver City, CA 90230-7068
Ph: (310) 846-5270 |
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