Individual
JASON S. PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 S MAIN ST, SUITE 100, ORANGE, CA 92868-3851
(714) 541-0101
Mailing address
5528 E LA PALMA AVE STE 4A, ANAHEIM, CA 92807-2115
(714) 970-0200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A96959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A969590
—
CA
Enumeration date
04/18/2007
Last updated
11/03/2021
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