| Ivan Wong, LMT | |
|
2000 Via Del Rey, South Pasadena, CA 91030-4146 | |
| (310) 866-6203 | |
| Not Available |
| Full Name | Ivan Wong |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 2000 Via Del Rey, South Pasadena, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003404633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MST-000417 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Wong, LMT 2000 Via Del Rey, South Pasadena, CA 91030-4146 Ph: (310) 866-6203 | Ivan Wong, LMT 2000 Via Del Rey, South Pasadena, CA 91030-4146 Ph: (310) 866-6203 |
Stephanie Hooper, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1017 Fremont Ave Suite A, South Pasadena, CA 91030 Phone: 626-441-4888 Fax: 626-441-5680 | |
Ariza Enriquez, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1017 Fremont Ave Suite A, South Pasadena, CA 91030 Phone: 626-441-4888 Fax: 626-441-5680 | |
Dianna Rodriguez, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1017 Fremont Ave Suite A, South Pasadena, CA 91030 Phone: 626-441-4888 |