Individual provider · Type 1 NPI

Nunthicha Mongkolla

Massage Therapist · Los Angeles, CA

NPI number 1487329058 Active

Practice location

11740 San Vicente Blvd
Los Angeles, CA 90049-6610

Call (310) 442-1901 Map

Mailing address

3200 E 3rd St
Los Angeles, CA 90063-3014

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X86844 (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 1487329058

Nunthicha Mongkolla's National Provider Identifier is 1487329058, issued on Aug 14, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 14, 2021.