Individual
EUGENE R PANTANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10861 CHERRY ST STE 302, LOS ALAMITOS, CA 90720-5403
(562) 493-1011
(562) 594-9226
Mailing address
10861 CHERRY ST STE 302, LOS ALAMITOS, CA 90720-5403
(562) 493-1011
(562) 594-9226
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A74436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A744360
—
CA
Enumeration date
10/17/2006
Last updated
09/16/2013
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