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NPI Code Detail

MEDICARE: AN PANG CHIENG MD A PROFESSIONAL CORPORATION

MEDICARE: AN PANG CHIENG MD A PROFESSIONAL CORPORATION
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
1207R00000XInternal Medicine PhysicianG66648CA
2208D00000XGeneral Practice PhysicianA48048CA
3207Q00000XFamily Medicine Physician20A8055CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336189117
Entity Type Code : Organization
Provider Name (Legal Business Name) : AN PANG CHIENG MD A PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 3301 N EASTERN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90032-1931
Country : US
Telephone Number : 323-225-2351
Fax Number : 323-225-7555
Provider Business Practice Location Address
First Line : 3301 N EASTERN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90032-1931
Country : US
Telephone Number : 323-225-2351
Fax Number : 323-225-7555
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : AN PANG CHIENG
Credential : M.D.
Telephone Number : 323-225-2351
Provider Enumeration Date : 06/08/2006
Last Update Date : 10/11/2007

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Directions to “AN PANG CHIENG MD A PROFESSIONAL CORPORATION ” Practice Location

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