Individual
DR. KATIE RUTH PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 N GARFIELD AVE STE 102, MONTEREY PARK, CA 91754-1242
(626) 308-0600
Mailing address
PO BOX 286, ALHAMBRA, CA 91802-0286
(626) 308-0600
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A84059
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA84059A
PTAN
—
Enumeration date
01/08/2007
Last updated
03/09/2020
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