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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