Anchalee Sorayuth Parker

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8487 Issued in CA

Practice address

8929 S.Sepulveda Blvd, # 403
Westchester, CA 90045-9004

Phone

(310) 951-1133

NPI assigned

Oct 20, 2020

Last updated

Oct 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Anchalee Wongmukdapitak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1881293900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 ARTESIA BLVD APT 99",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043050",
            "telephone_number": "310-951-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 S.SEPULVEDA BLVD, # 403",
            "city": "WESTCHESTER",
            "state": "CA",
            "postal_code": "900459004",
            "telephone_number": "310-951-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ANCHALEE",
        "middle_name": "SORAYUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "8487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANCHALEE",
            "last_name": "WONGMUKDAPITAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kelly A Rodriguez
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• Sage, Bina, Korouri Dental Office of la Tijera, Inc. (PHD Dental of Westchester)
• Sepulveda Physical Medicine

• Massage Therapist in Westchester, CA
• Providers in Westchester, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.