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MAKHA PHETPHOMMASOUK NPI 1346782646


NPI Information

NPI: 1346782646
Provider Name: MAKHA PHETPHOMMASOUK
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
95 MONTGOMERY DR
126
SANTA ROSA, CA
ZIP 95404
Phone: (707) 861-0625
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Makha Phetphommasouk is an acupuncturist in Santa Rosa, CA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Makha Phetphommasouk NPI is 1346782646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

95 MONTGOMERY DR
126
SANTA ROSA, CA
ZIP 95404-630
Phone: (707) 861-0625

The enumeration date for this NPI number is 11/17/2016 and was last updated on 11/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturist17021CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.