Address: 3169 Estara Ave, Los Angeles, CA 90065-2951
Phone: 3238683104

CHIDSANUPORN NARUDEESRIUTHAI (NPI# 1205443215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205443215
Entity Type Individual
Practice Address 3169 Estara Ave
Los Angeles
CA 90065-2951
Practice Telephone 3238683104
Mailing Telephone 3238683104
Enumeration Date 2020-09-24
Last Update Date 2020-09-24
Gender Code F
Is Sole Proprietor Y


Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 5292 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3169 ESTARA AVE
State CA
Zip Code 90065-2951

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1134613177 Carmela Hermann Dietrich Massage Therapist 546 Frontenac Avenue, Los Angeles, CA 90065 2018-06-21
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1154475382 Grace O Serrano Dentist 4146 Verdugo Rd, Los Angeles, CA 90065 2007-01-23
1265532519 Dae H Song Dentist 3129 San Fernando Rd, Los Angeles, CA 90065 2006-09-25
1730289737 Calox Inc Durable Medical Equipment & Medical Supplies 3034 Fierro Street, Los Angeles, CA 90065 2006-09-22
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730787995 Armando Cardona Massage Therapist 3716 Barham Blvd Apt B310, Los Angeles, CA 90068-1072 2020-10-10
1316544869 Stella Helen Gardiner Massage Therapist 1127 1/2 Cardiff Ave, Los Angeles, CA 90035-1357 2020-10-07
1326645367 Anna Harbert Massage Therapist 334 S Westlake Ave Apt 212, Los Angeles, CA 90057-2964 2020-10-02
1942817440 Wendy S Tovar Massage Therapist 1653 W 60th Pl, Los Angeles, CA 90047-1510 2020-09-28
1326655820 Miranda Mainez Massage Therapist 2817 S Sycamore Ave, Los Angeles, CA 90016-3411 2020-09-28
1992312698 Wen Chen Massage Therapist 3721 S Gramercy Pl, Los Angeles, CA 90018-4346 2020-09-26
1316554025 Tyler Bee Massage Therapist 7046 Hollywood Blvd Apt 303, Los Angeles, CA 90028-6057 2020-09-26
1235746207 Andy M Gonzalez Massage Therapist 2019 Orchard Ave Apt 4, Los Angeles, CA 90007-1276 2020-09-24
1588270862 Tabarak Khan Massage Therapist 401 S Kingsley Dr Apt 226, Los Angeles, CA 90020-3214 2020-09-22
1568078905 Daniel Kozhebrodsky Massage Therapist 1344 N Martel Ave Unit 205, Los Angeles, CA 90046-4846 2020-09-21
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Zip Code 90065

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.