Ivan Wong, LMT
NPI 1003404633 · Massage Therapist · South Pasadena, CA
Ivan Wong, LMT is a Massage Therapist provider in South Pasadena, CA (NPI 1003404633).
Provider details
- NPI number
- 1003404633
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- MST-000417 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-08
- Last updated
- 2021-01-08
- Certified
- 2021-01-08
Frequently asked questions
- What is Ivan Wong's NPI number?
- Ivan Wong's National Provider Identifier (NPI) is 1003404633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Wong's specialty?
- Ivan Wong is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ivan Wong located?
- Ivan Wong's practice location on file with NPPES is 2000 Via Del Rey, South Pasadena, CA 91030-4146.
- What is Ivan Wong's phone number?
- The practice phone number listed in the NPPES registry for Ivan Wong is (310) 866-6203.
- Is Ivan Wong's NPI active?
- Yes — Ivan Wong's NPI (1003404633) is active in the NPPES registry as of the last update on 2021-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.