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

Individual provider Massage Therapist · NPI 1598579930

Jirisuda Pisuthiprakorn is a Massage Therapist in Sylmar, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

13691 Gavina Ave Unit 567
Sylmar, CA 91342-2670
Phone: (818) 644-1995
Fax: (818) 591-8426
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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 84208 (CA)

Record details

NPI number1598579930
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2025
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

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