Individual provider · Type 1 NPI

Jenjira Wong

Massage Therapist · Los Angeles, CA

NPI number 1063375772 Active

Practice location

133 N Serrano Ave
Los Angeles, CA 90004-4205

Call (347) 822-6360 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X79537 (CA)

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.

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About NPI 1063375772

Jenjira Wong's National Provider Identifier is 1063375772, issued on Dec 9, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 9, 2025.