Individual
IVAN FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19607 CASTLEBAR DR, ROWLAND HEIGHTS, CA 91748-3209
(626) 271-0812
Mailing address
19607 CASTLEBAR DR, ROWLAND HEIGHTS, CA 91748-3209
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78427
CA
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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