MEDICARE: DR. NATALIE PANG SUNG DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	20A16301	CA

General Provider Information

NPI Number	:	1265959761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIE PANG SUNG DO

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	702-579-3203
Fax Number	:

Provider Business Practice Location Address
First Line	:	6226 E SPRING ST STE 100
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-4122
Country	:	US
Telephone Number	:	562-420-1338
Fax Number	:	562-627-5640

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2017
Last Update Date	:	01/12/2026

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