| Ivan Fung, | |
|
19607 Castlebar Dr, Rowland Heights, CA 91748-3209 | |
| (626) 271-0812 | |
| Not Available |
| Full Name | Ivan Fung |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 19607 Castlebar Dr, Rowland Heights, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083352751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 78427 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Fung, 19607 Castlebar Dr, Rowland Heights, CA 91748-3209 Ph: () - | Ivan Fung, 19607 Castlebar Dr, Rowland Heights, CA 91748-3209 Ph: (626) 271-0812 |
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