# GLENN M. L. PANG, MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GLENN M. L. PANG, MD, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689019176
- **Legal business name:** GLENN M. L. PANG, MD, INC
- **Authorized official:** DR. GLENN M. L. PANG MD (OWNER)
- **Authorized official phone:** (808) 533-1708

## Contact information

- **Practice address:** 2226 LILIHA ST, SUITE 405, HONOLULU, HI 96817-1600
- **Practice address phone:** (808) 533-1708
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809
- **Mailing address fax:** (888) 431-8819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2013
- **Last updated:** 10/05/2015