Individual provider · Type 1 NPI

Lawan Nuengdanjak

Massage Therapist · San Diego, CA

NPI number 1578422663 Active

Practice location

11300 Sorrento Valley Rd Ste 105
San Diego, CA 92121-1329

Call (858) 519-7867 Map

Fax (858) 351-4162

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X67317 (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 1578422663

Lawan Nuengdanjak's National Provider Identifier is 1578422663, issued on Jan 15, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Diego, CA. The record was last updated on Jan 15, 2026.