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PONGDEACH PITAKMOULCHON
NPI 1114802196
Massage Therapist in Torrance, CA

Active since August 08, 2025
22015 MARIPOSA AVE, TORRANCE, CA 90502(424) 634-1789 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pongdeach Pitakmoulchon NPPES

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

PONGDEACH PITAKMOULCHON (NPI 1114802196) is an individual massage therapist in Torrance, California, licensed in California (91726) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1114802196
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NamePONGDEACH PITAKMOULCHON
Location Address22015 MARIPOSA AVETorrance, CA 90502-2233
Mailing Address22015 Mariposa AveTorrance, CA 90502-2233 · (424) 634-1789
Phone(424) 634-1789
Sole ProprietorYes
Enumeration DateAugust 8, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1114802196 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 · 91726
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.
22015 MARIPOSA AVE, Torrance, CA 90502
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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 Pongdeach Pitakmoulchon's NPI number?

The NPI number for Pongdeach Pitakmoulchon is 1114802196. It was assigned to this individual provider in the NPPES registry on August 8, 2025.

Where is Pongdeach Pitakmoulchon located?

Pongdeach Pitakmoulchon practices at 22015 Mariposa Ave, Torrance, CA 90502. The listed phone number is (424) 634-1789.

What is Pongdeach Pitakmoulchon'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 Pongdeach Pitakmoulchon was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.