Organization
SMOOTHIE STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARI AMAKASU (MEMBER)
(949) 414-8724
Entity
Organization
Contact information
Practice address
124 NICKEL, IRVINE, CA 92618-0830
(714) 251-3985
Mailing address
23600 ROCKFIELD BLVD STE 124, LAKE FOREST, CA 92630-1624
(949) 414-8724
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/17/2026
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