Ivan Wong, LMT is a
Massage Therapist based in South Pasadena, California. Ivan Wong is licensed to practice in California (license number MST-000417) and his current practice location is
2000 Via Del Rey, South Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(310) 866-6203.
NPI number for Ivan Wong is 1003404633 and his current mailing address is 2000 Via Del Rey, South Pasadena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003404633.
Healthcare Provider's Profile
Full Name | Ivan Wong |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 2000 Via Del Rey, South Pasadena, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003404633
- Provider Enumeration Date: 01/08/2021
- Last Update Date: 01/08/2021
Medical Identifiers
Medical identifiers for Ivan Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003404633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MST-000417 (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. Ivan Wong 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 |
Ivan Wong, LMT 2000 Via Del Rey, South Pasadena, CA 91030-4146 Ph: (310) 866-6203 | Ivan Wong, LMT 2000 Via Del Rey, South Pasadena, CA 91030-4146 Ph: (310) 866-6203 |
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