Individual
ANTHONY JAMES PANGALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(800) 826-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(800) 826-4673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085010644
IL
363A00000X
Physician Assistant
Primary
66748
CA
Other
Enumeration date
05/06/2024
Last updated
09/18/2025
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