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

Phatthana Penmongkhon

Individual provider Massage Therapist · NPI 1811503493

Phatthana Penmongkhon is a Massage Therapist in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

1367 41st Ave
San Francisco, CA 94122-1206
Phone: (415) 999-7320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 8605 (CA)

Record details

NPI number1811503493
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 19, 2020
Last updated in NPPESSeptember 19, 2020
Certification dateSeptember 19, 2020

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