# EDWARD K. PANG MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1891202263
- **Authorized official:** EDWARD PANG D.O. (PRESIDENT)
- **Authorized official phone:** (310) 860-3450

## Contact information

- **Practice address:** 444 S SAN VICENTE BLVD STE 901, LOS ANGELES, CA 90048-4174
- **Practice address phone:** (310) 860-3450
- **Mailing address:** PO BOX 69663, WEST HOLLYWOOD, CA 90069-0663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 20A12433 | CA | Yes |

## Other

- **Enumeration date:** 01/06/2018
- **Last updated:** 01/06/2018