Ivan Wong
Massage Therapist
2000 Via Del Rey
South Pasadena
, California 91030-4146
Ivan Wong
Massage Therapist
2000 Via Del Rey
South Pasadena
, California 91030-4146
(310) 866-6203
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Ivan Wong
- 2000 Via Del Rey
- South Pasadena, CA
- Zip : 91030-4146
- Phone : (310) 866-6203
Second Address
- Ivan Wong
- 2000 Via Del Rey
- South Pasadena, CA
- Zip : 91030-4146
- Phone : (310) 866-6203
Reviews
FAQs
Where did Ivan Wong attend graduate school?
Where did Ivan Wong do his residency?
Where did Ivan Wong do his fellowship?
Is Ivan Wong board certified?
What type of doctor is Ivan Wong
In what state does Ivan Wong practice in?
Where is Ivan Wong ’s practice located?
What is Ivan Wong ’s gender?
Is Ivan Wong a sole practitioner?
Is Ivan Wong accepting new patients?
What languages does Ivan Wong speak?
Does Ivan Wong accept insurance?
Does Ivan Wong offers telemedicine?
What is Ivan Wong ’s professional license number?
What is Ivan Wong ’s NPI number?
Does Ivan Wong have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MST-000417 | CA |
National Provider Identifier
| NPI | 1003404633 |
|---|---|
| Provider Name | Ivan Wong |
| First Address | South Pasadena, CA 91030-4146 |
| Second Address | South Pasadena, CA 91030-4146 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2021 |
| Last Update Date | 08/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.