Individual
BRIAN JONATHAN PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15161 JACKSON ST, MIDWAY CITY, CA 92655-1432
(714) 897-3221
Mailing address
18151 BEACH BLVD, HUNTINGTON BEACH, CA 92648-1302
(626) 623-0630
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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