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KAVALIN CHAROENRAKSA
NPI 1104688761
Massage Therapist in San Diego, CA

Active since January 29, 2024
4620 ALVARADO CANYON RD, UNIT 14, SAN DIEGO, CA 92120(858) 308-6394 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kavalin Charoenraksa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAVALIN CHAROENRAKSA (NPI 1104688761) is an individual massage therapist in San Diego, California, licensed in California (95239) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1104688761
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKAVALIN CHAROENRAKSA
Location Address4620 ALVARADO CANYON RD, UNIT 14San Diego, CA 92120
Mailing Address8883 Haveteur WaySan Diego, CA 92123 · (619) 243-6417
Phone(858) 308-6394
Sole ProprietorNo
Enumeration DateJanuary 29, 2024
✔ NPI 1104688761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 95239
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
4620 ALVARADO CANYON RD, San Diego, CA 92120
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENVISION PERSONALIZED HEALTH
Health Educator
4620 ALVARADO CANYON RD, SUITE 14
SAN DIEGO, CA 92120
San Diego County (619) 229-9695
FAITH SHEVLIN
Dietitian, Registered
4620 ALVARADO CANYON RD, STE 14
SAN DIEGO, CA 92120
San Diego County (619) 229-9695
KALYALAK CHAROENRAKSA
Massage Therapist
4620 ALVARADO CANYON RD, UNIT 14
SAN DIEGO, CA 92120
San Diego County (858) 308-6394
ENVISION PERSONALIZED HEALTH
Health Maintenance Organization
4620 ALVARADO CANYON RD, SUITE 14
SAN DIEGO, CA 92120
San Diego County (619) 229-9695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kavalin Charoenraksa's NPI number?

The NPI number for Kavalin Charoenraksa is 1104688761. It was assigned to this individual provider in the NPPES registry on January 29, 2024.

Where is Kavalin Charoenraksa located?

Kavalin Charoenraksa practices at 4620 Alvarado Canyon Rd Unit 14, San Diego, CA 92120. The listed phone number is (858) 308-6394.

What is Kavalin Charoenraksa's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kavalin Charoenraksa was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.