Individual
SHIRLEY W PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2141 N HARBOR BLVD STE 25000, FULLERTON, CA 92835-3830
(714) 626-8619
(714) 626-8693
Mailing address
2141 N HARBOR BLVD STE 25000, FULLERTON, CA 92835-3830
(714) 626-8619
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A80798
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A80798
LICIENCE NUMBER
CA
Enumeration date
10/31/2006
Last updated
11/09/2021
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