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Individual

DR. GARY KIN TET PANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6900 BROCKTON AVENUE, SUITE 103, RIVERSIDE, CA 92506
(951) 784-7111
(951) 823-0378
Mailing address
PO BOX 224, LOMA LINDA, CA 92354-0224
(951) 784-7111

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A78054
CA

Other

Enumeration date
10/03/2006
Last updated
05/16/2013
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