Provider Demographics
NPI:1649481276
Name:WONG, LOUIS YING-HO (LMT)
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:YING-HO
Last Name:WONG
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 37782
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96837-0782
Mailing Address - Country:US
Mailing Address - Phone:808-523-7856
Mailing Address - Fax:
Practice Address - Street 1:1188 BISHOP ST STE 1204
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3305
Practice Address - Country:US
Practice Address - Phone:808-523-7856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5388225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist