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

Individual provider Massage Therapist · NPI 1114802196

Pongdeach Pitakmoulchon is a Massage Therapist in Torrance, 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

22015 Mariposa Ave
Torrance, CA 90502-2233
Phone: (424) 634-1789
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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 91726 (CA)

Record details

NPI number1114802196
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 8, 2025
Last updated in NPPESAugust 8, 2025
Certification dateAugust 7, 2025
Mailing address22015 Mariposa Ave, Torrance, CA 90502-2233

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