Individual
MR. CHANACHON SRISAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21500 LASSEN ST SPC 143, CHATSWORTH, CA 91311-0832
(818) 614-8522
Mailing address
21500 LASSEN ST SPC 143, CHATSWORTH, CA 91311-0832
(818) 614-8522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
83732
CA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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