Organization
ALLIANCE PAIN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN PANG MD (PRESIDENT)
(707) 762-8586
Entity
Organization
Contact information
Practice address
3835 CYPRESS DRIVE, SUITE 102, PETALUMA, CA 94954-6966
(707) 762-8586
(707) 762-8582
Mailing address
PO BOX 7096, STOCKTON, CA 95267
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A615060
BLUE SHIELD OF CALIFORNIA
CA
01
—
200525200
US DEPARTMENT OF LABOR
CA
01
—
P00127835
RAILROAD MEDICARE
CA
Enumeration date
06/29/2006
Last updated
11/13/2023
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