Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ekkaphot Phanthong

Individual provider Massage Therapist · NPI 1306545413

Ekkaphot Phanthong is a Massage Therapist in Concord, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

1790 Ellis St Apt 24
Concord, CA 94520-2747
Phone: (443) 236-6919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 80047 (CA)

Record details

NPI number1306545413
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2023
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023
Mailing address1790 Ellis St Apt 24, Concord, CA 94520-2747

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