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General NPI Number Information
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NPI Number | 1962666156
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Entity Type | Organization
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Legal Business Name | ARNOLD PANG D.O., INC
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 08/30/2017
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Provider Practice Location Address
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Address Line | 15572 GALE AVE
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-1513
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Country | US
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Telephone | 626-377-4562
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Fax | 626-377-4521
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Provider Business Mailing Address
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Address Line | 15572 GALE AVE
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-1513
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Country | US
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Telephone | 626-377-4562
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Fax | 626-377-4521
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Authorized Official
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Title or Position | CEO
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Name | DR. ARNOLD TSZ CHUN PANG
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Credential | D.O.
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Telephone | 626-377-4562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A9712
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License Number State | CA
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