Wanchai Chuangsamrong, is a
Massage Therapist based in San Bruno, California. Wanchai Chuangsamrong is licensed to practice in California (license number 89210) and his current practice location is
315 Palomar Ct, San Bruno, California. He can be reached at his office (for appointments etc.) via phone at
(415) 490-6434.
NPI number for Wanchai Chuangsamrong is 1881313492 and his current mailing address is 315 Palomar Ct, San Bruno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881313492.
Provider's Profile
Full Name | Wanchai Chuangsamrong |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 315 Palomar Ct, San Bruno, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881313492
- Provider Enumeration Date: 08/25/2022
- Last Update Date: 08/25/2022
Medical Identifiers
Medical identifiers for Wanchai Chuangsamrong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881313492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 288518 (California) | Secondary |
225700000X | Massage Therapist | 89210 (California) | 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. Wanchai Chuangsamrong 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 |
Wanchai Chuangsamrong, 315 Palomar Ct, San Bruno, CA 94066-4711 Ph: (415) 490-6434 | Wanchai Chuangsamrong, 315 Palomar Ct, San Bruno, CA 94066-4711 Ph: (415) 490-6434 |
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