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Ivan Wong, LMT
NPI 1003404633 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2000 Via Del Rey
South Pasadena, CA 91030 - Phone
- (310) 866-6203
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California