Gary K. T. Pang, A Professional Corporation

NPI 1427246529 - Anesthesiology - 207LP2900X

NPI Details
NPI 1427246529
Enumeration Date 10/15/2007
Last Updated 10/15/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GARY KIN TET GARY
Position PHYSICIAN/OWNER
Phone (951) 784-7111
Fax
Practice Location
6900 BROCKTON AVE
RIVERSIDE CA, 92506-3801, US
Phone (951) 784-7111
Fax
Business Location
26439 ANTONIO CIR
LOMA LINDA CA, 92354-6763, US
Phone (909) 838-6448
Fax (909) 796-6734
Toxanomy
Taxonomy Code 207LP2900X
License State California
License Number A78054
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According to our database, Gary K. T. Pang, A Professional Corporation NPI is 1427246529, taxonomy code is 207LP2900X and license number is A78054, license state is located at California. Gary K. T. Pang, A Professional Corporation physically located at 6900 Brockton Ave, Riverside CA, 92506-3801. NPI Number 1033115704 has the healthcare provider type.

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1427246529 NPI number is provided on an as is basis without warranty of any kind. 1427246529 is maintained by the National Plan & Provider Enumeration System. The contents of Gary K. T. Pang, A Professional Corporation are for informational purposes only.