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

Individual provider Acupuncturist · NPI 1346782646

Makha Phetphommasouk is an Acupuncturist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

95 Montgomery Dr 126
Santa Rosa, CA 95404-6630
Phone: (707) 861-0625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 17021 (CA)

Record details

NPI number1346782646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 17, 2016
Last updated in NPPESNovember 17, 2016

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