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

Jakkrapong Suebshomphoo

Individual provider Massage Therapist · NPI 1407423874

Jakkrapong Suebshomphoo is a Massage Therapist in Sun Valley, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

13041 Roscoe Blvd
Sun Valley, CA 91352-3736
Phone: (818) 987-5505
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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 85662
Massage Therapist Taxonomy 225700000X

Record details

NPI number1407423874
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 5, 2021
Last updated in NPPESJune 5, 2021
Certification dateJune 4, 2021

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