# GARY K. T. PANG, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427246529
- **Authorized official:** DR. GARY KIN TET PANG MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (909) 838-6448

## Contact information

- **Practice address:** 6900 BROCKTON AVE, RIVERSIDE, CA 92506-3801
- **Practice address phone:** (951) 784-7111
- **Mailing address:** 26439 ANTONIO CIR, LOMA LINDA, CA 92354-6763
- **Mailing address phone:** (909) 838-6448
- **Mailing address fax:** (909) 796-6734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A78054 | CA | Yes |

## Other

- **Enumeration date:** 10/15/2007
- **Last updated:** 10/15/2007