| Jakkrapong Suebshomphoo, | |
|
13041 Roscoe Blvd, Sun Valley, CA 91352-3736 | |
| (818) 987-5505 | |
| Not Available |
| Full Name | Jakkrapong Suebshomphoo |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 13041 Roscoe Blvd, Sun Valley, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407423874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | 85662 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jakkrapong Suebshomphoo, 13041 Roscoe Blvd, Sun Valley, CA 91352-3736 Ph: () - | Jakkrapong Suebshomphoo, 13041 Roscoe Blvd, Sun Valley, CA 91352-3736 Ph: (818) 987-5505 |
Theresa Natasha Gehri, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 11132 Hershey St, Sun Valley, CA 91352 Phone: 213-493-9339 | |
Jessica Lupercio, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8601 Sunland Blvd Unit 44, Sun Valley, CA 91352 Phone: 818-336-8457 | |
Jimmy Ayala, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 10447 Lanark St, Sun Valley, CA 91352 Phone: 818-389-7211 |