Healthcare Provider Details

I. General information

NPI: 1518822337
Provider Name (Legal Business Name): PANDAGC CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12811 8TH AVE W STE D105
EVERETT WA
98204-6370
US

IV. Provider business mailing address

12811 8TH AVE W STE D105
EVERETT WA
98204-6370
US

V. Phone/Fax

Practice location:
  • Phone: 425-908-9245
  • Fax:
Mailing address:
  • Phone: 425-908-9245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: WEI WANG
Title or Position: OWNER / MANAGING MEMBER
Credential: LAC
Phone: 206-886-2922