DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PANGDAO THAO MASTERS

MEDICARE: PANGDAO THAO MASTERS
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
1101YM0800XMental Health Counselor22335CA

General Provider Information

NPI Number : 1285971572
Entity Type Code : Individual
Provider Name (Legal Business Name) : PANGDAO THAO MASTERS
Provider Business Mailing Address
First Line : 4879 E CESAR CHAVEZ BLVD
Second Line :
City : FRESNO
State : CA
Zip : 93727-3811
Country : US
Telephone Number : 559-255-8395
Fax Number :
Provider Business Practice Location Address
First Line : 4855 E KINGS CANYON ROAD
Second Line :
City : FRESNO
State : CA
Zip : 93727-3811
Country : US
Telephone Number : 559-390-0963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2013
Last Update Date : 05/27/2026

Similar Medicare Providers

1033684790 — SAI VANG LMFT
Practice Location Address:
4855 E KINGS CANYON ROAD
FRESNO, CA
93727-3811
Practice Phone: 559-255-8395
Practice Fax:
1689150922 — PA HOUA YANG
Practice Location Address:
4871 E KINGS CANYON RD
FRESNO, CA
93727-3811
Practice Phone: 559-255-8395
Practice Fax:
1578865457 — ZE VANG LMFT # 104480
Practice Location Address:
4855 E KINGS CANYON RD
FRESNO, CA
93727-3811
Practice Phone: 559-255-8395
Practice Fax:
1407886765 — DR. STEPHANE NGO M.D.
Practice Location Address:
4855 E KINGS CANYON RD
FRESNO, CA
93727-3811
Practice Phone: 559-255-8395
Practice Fax:
1194290494 — KA YENG LEE MS
Practice Location Address:
4855 E. KINGS CANYON RD
FRESNO, CA
93727-3811
Practice Phone: 559-255-8395
Practice Fax: 559-255-1656
1104337104 — MAI XAE YANG
Practice Location Address:
4871 E KINGS CANYON RD
FRESNO, CA
93727-3811
Practice Phone: 559-390-0963
Practice Fax:

Directions to “ PANGDAO THAO MASTERS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.