Organization
PAN & PAN MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWEI-MIN PAN M.D. (PRESIDENT)
(714) 540-0301
Entity
Organization
Contact information
Practice address
2621 S BRISTOL ST, SUITE 208, SANTA ANA, CA 92704-5766
(714) 540-0301
(714) 540-0311
Mailing address
2621 S BRISTOL ST, SUITE 208, SANTA ANA, CA 92704-5766
(714) 540-0301
(714) 540-0311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A43080
CA
2086S0129X
Vascular Surgery Physician
A43080
CA
Other
Enumeration date
05/16/2007
Last updated
06/21/2018
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