Organization
JASON J PANG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON J PANG MD (PRESIDENT)
(949) 206-0360
Entity
Organization
Contact information
Practice address
11039 ACACIA PKWY, GARDEN GROVE, CA 92840-5126
(714) 534-3366
(714) 534-3352
Mailing address
PO BOX 3428, LAGUNA HILLS, CA 92654-3428
(949) 206-0360
(949) 951-4831
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A69884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A69884
STATE LICENSE
CA
Enumeration date
05/09/2008
Last updated
03/30/2009
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