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
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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
1013518315 Mayulee Wilawanwelsh Massage Therapist 349 S Lafayette Pk Pl, Los Angeles, CA 90057 2020-11-03
1841899119 Sonjia Breth Massage Therapist 10500 National Blvd Apt 40, Los Angeles, CA 90034-3624 2020-10-19
1114526563 Clara Vazquez Massage Therapist 3329 W Sunset Blvd, Los Angeles, CA 90026-2117 2020-10-17
1376141788 Rungaroon Seewai Massage Therapist 124 N Oxford Ave Apt 214, Los Angeles, CA 90004-4216 2020-10-16
1821696238 Robin Quincey Massage Therapist 1825 S Crescent Heights Blvd, Los Angeles, CA 90035-4616 2020-10-16
1245838887 Luis Bravo Massage Therapist 2526 Mayberry St, Los Angeles, CA 90026-2320 2020-10-15
1497353940 Chalisa Thavonrungkit Massage Therapist 5440 Carlton Way Apt 105, Los Angeles, CA 90027-4878 2020-10-15
1962000604 Priska Schuerpf Massage Therapist 3490 Wade St, Los Angeles, CA 90066-1534 2020-10-14
1164020954 Karina Hernandez Massage Therapist 6211 St Albans St, Los Angeles, CA 90042-1319 2020-10-13
1942808951 Michelle Gauntt Massage Therapist 10432 Parmelee Ave, Los Angeles, CA 90002-3547 2020-10-12
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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.