Individual
EDWARD PANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11301 WILSHIRE BLVD, MAIL #117, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
PO BOX 69663, LOS ANGELES, CA 90069-0663
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A12433
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2011
Last updated
01/06/2018
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