Ms Carla Maria Fountain, CMT is a
Massage Therapist based in Brea, California. Ms Carla Maria Fountain is licensed to practice in California (license number 1361) and her current practice location is
2360 Carrotwood Dr, Brea, California. She can be reached at her office (for appointments etc.) via phone at
(714) 321-9938.
NPI number for Ms Carla Maria Fountain is 1760081699 and her current mailing address is 2360 Carrotwood Dr, Brea, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760081699.
Healthcare Provider's Profile
Full Name | Ms Carla Maria Fountain |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 2360 Carrotwood Dr, Brea, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760081699
- Provider Enumeration Date: 10/21/2020
- Last Update Date: 10/21/2020
Medical Identifiers
Medical identifiers for Ms Carla Maria Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760081699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 1361 (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. Ms Carla Maria Fountain 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 |
Ms Carla Maria Fountain, CMT 2360 Carrotwood Dr, Brea, CA 92821-4617 Ph: (714) 321-9938 | Ms Carla Maria Fountain, CMT 2360 Carrotwood Dr, Brea, CA 92821-4617 Ph: (714) 321-9938 |
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