Individual provider · Type 1 NPI

Penpayom Wongsuwan

Massage Therapist · Los Angeles, CA

NPI number 1750200200 Active

Practice location

1283 1/2 N Ardmore Ave
Los Angeles, CA 90029-1411

Call (324) 374-5785 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X84656 (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 1750200200

Penpayom Wongsuwan's National Provider Identifier is 1750200200, issued on Jul 10, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 10, 2026.