Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVAN WONG, LMT
Active Sole ProprietorIVAN WONG, LMT is a Massage Therapist healthcare provider located in SOUTH PASADENA, California. NPI 1003404633 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · SOUTH PASADENA, CA
Registration Details
- NPI Number
- 1003404633
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2021 (5.5705843211007 yrs)
- Last Updated
- Jan 8, 2021
- License
-
MST-000417 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2000 VIA DEL REYSOUTH PASADENA, CA, 910304146Browse CA providers · Browse ZIP 91030
- Phone
- 3108666203
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in SOUTH PASADENA, CA
| Name | Credential | NPI |
|---|---|---|
| ARIZA ENRIQUEZ | CMT | 1649012006 |
| DIANNA RODRIGUEZ | CMT | 1932941176 |
| STEPHANIE HOOPER | CMT | 1609610153 |
| KARINA GUADRON | MT | 1578414710 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.