CHIDSANUPORN NARUDEESRIUTHAI (NPI# 1205443215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205443215 |
| Entity Type | Individual |
| Full Name | CHIDSANUPORN NARUDEESRIUTHAI |
| 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 |
| Street Address |
3169 ESTARA AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90065-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134613177 | Carmela Hermann Dietrich | Massage Therapist | 546 Frontenac Avenue, Los Angeles, CA 90065 | 2018-06-21 |
| 1245421981 | Kerry Glen Thorne | Marriage & Family Therapist | 3374 Scarboro St, Los Angeles, CA 90065 | 2007-08-07 |
| 1275654311 | Cal Care Ambulance Service | Ambulance | 2829 N. San Fernando Rd #203, Los Angeles, CA 90065 | 2007-04-03 |
| 1053430116 | Feliza Perez | Rehabilitation Practitioner | 2677 1/2 202 Ave, Huntington Park, CA 90065 | 2007-03-28 |
| 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 |
| 1093224131 | Andre Marderosian | Dentist | 3129 N San Fernando Rd, Los Angeles, CA 90065 | 2017-09-20 |
| 1710345491 | Golden Van Rides Inc. | Non-emergency Medical Transport (VAN) | 3920 Eagle Rock Blvd, Suite C, Los Angeles, CA 90065 | 2016-02-09 |
| 1841467396 | Highland Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2648 N Figueroa St, Los Angeles, CA 90065-1026 | 2008-05-14 |
| Find all providers in zip 90065 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| 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 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90065 |
Please comment or provide details below to improve the information on CHIDSANUPORN NARUDEESRIUTHAI.
| 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.