Benjamin Iwan, CMT is a
Massage Therapist based in Ladera Ranch, California. Benjamin Iwan is licensed to practice in California (license number 91250) and his current practice location is
31 Palladium Ln, Ladera Ranch, California. He can be reached at his office (for appointments etc.) via phone at
(612) 384-5889.
NPI number for Benjamin Iwan is 1164142477 and his current mailing address is 31 Palladium Ln, Ladera Ranch, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164142477.
Healthcare Provider's Profile
| Full Name | Benjamin Iwan |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 31 Palladium Ln, Ladera Ranch, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164142477
- Provider Enumeration Date: 08/29/2022
- Last Update Date: 08/29/2022
Medical Identifiers
Medical identifiers for Benjamin Iwan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164142477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 91250 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Iwan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Benjamin Iwan, CMT
31 Palladium Ln,
Ladera Ranch, CA 92694-1201
Ph: () - | Benjamin Iwan, CMT
31 Palladium Ln,
Ladera Ranch, CA 92694-1201
Ph: (612) 384-5889 |
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