Organization
GARY K. T. PANG, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY KIN TET PANG MD (PHYSICIAN/OWNER)
(909) 838-6448
Entity
Organization
Contact information
Practice address
6900 BROCKTON AVE, RIVERSIDE, CA 92506-3801
(951) 784-7111
Mailing address
26439 ANTONIO CIR, LOMA LINDA, CA 92354-6763
(909) 838-6448
(909) 796-6734
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A78054
CA
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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