Jakkrapong Suebshomphoo, is a
Massage Therapist based in Sun Valley, California. Jakkrapong Suebshomphoo is licensed to practice in * (Not Available) (license number 85662) and his current practice location is
13041 Roscoe Blvd, Sun Valley, California. He can be reached at his office (for appointments etc.) via phone at
(818) 987-5505.
NPI number for Jakkrapong Suebshomphoo is 1407423874 and his current mailing address is 13041 Roscoe Blvd, Sun Valley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407423874.
Healthcare Provider's Profile
Full Name | Jakkrapong Suebshomphoo |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 13041 Roscoe Blvd, Sun Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407423874
- Provider Enumeration Date: 06/05/2021
- Last Update Date: 06/05/2021
Medical Identifiers
Medical identifiers for Jakkrapong Suebshomphoo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407423874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (* (Not Available)) | Secondary |
225700000X | Massage Therapist | 85662 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jakkrapong Suebshomphoo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jakkrapong Suebshomphoo, 13041 Roscoe Blvd, Sun Valley, CA 91352-3736 Ph: () - | Jakkrapong Suebshomphoo, 13041 Roscoe Blvd, Sun Valley, CA 91352-3736 Ph: (818) 987-5505 |
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