SearchCalifornia183500000X

Ivan Wong

NPI 1396445169 · on the registry since 2023

Practice

Address
1740 Otterbein Ave Apt 45
Rowland Heights, CA 91748
Phone
(626) 404-8133

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-09

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