Organization
EDWARD K. PANG MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD PANG D.O. (PRESIDENT)
(310) 860-3450
Entity
Organization
Contact information
Practice address
444 S SAN VICENTE BLVD STE 901, LOS ANGELES, CA 90048-4174
(310) 860-3450
Mailing address
PO BOX 69663, WEST HOLLYWOOD, CA 90069-0663
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A12433
CA
Other
Enumeration date
01/06/2018
Last updated
01/06/2018
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