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IVAN WONG LMT
NPI 1003404633
Massage Therapist in South Pasadena, CA

Active since January 08, 2021
2000 VIA DEL REY, SOUTH PASADENA, CA 91030(310) 866-6203 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivan Wong Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN WONG LMT (NPI 1003404633) is an individual massage therapist in South Pasadena, California, licensed in California (MST-000417) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1003404633
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameIVAN WONGCredential: LMT
Location Address2000 VIA DEL REYSouth Pasadena, CA 91030-4146
Mailing Address2000 Via Del ReySouth Pasadena, CA 91030-4146 · (310) 866-6203
Phone(310) 866-6203
Sole ProprietorYes
Enumeration DateJanuary 8, 2021
NPPES CertifiedJanuary 8, 2021
✔ NPI 1003404633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · MST-000417
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
2000 VIA DEL REY, South Pasadena, CA 91030
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Wong's NPI number?

The NPI number for Ivan Wong is 1003404633. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Ivan Wong located?

Ivan Wong practices at 2000 Via Del Rey, South Pasadena, CA 91030. The listed phone number is (310) 866-6203.

What is Ivan Wong's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Ivan Wong was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.