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Organization
SANG MEDICAL CORP
Active
Organization
SANG MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEW SANG M.D. (OWNER)
(559) 268-1737
Entity
Organization
Contact information
Practice address
1122 S ST, FRESNO, CA 93721-1430
(559) 268-1737
(559) 268-1738
Mailing address
1122 S ST, SUITE 102, FRESNO, CA 93721-1430
(559) 268-1737
(559) 268-1738
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A93522
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154340586
—
CA
05
—
1578669511
—
CA
Enumeration date
05/08/2013
Last updated
07/07/2014
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