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JASON J PANG MD INC NPI 1336316264


NPI Information

NPI: 1336316264
Provider Name: JASON J PANG MD INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 05D2017328

Address:
11039 ACACIA PKWY
GARDEN GROVE, CA
ZIP 92840
Phone: (714) 534-3366
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JASON J PANG MD INC is a nephrology internal medicine in Garden Grove, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. JASON J PANG MD INC NPI is 1336316264. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11039 ACACIA PKWY
GARDEN GROVE, CA
ZIP 92840-126
Phone: (714) 534-3366
Fax: (714) 534-3352

The provider's authorized official is Jason J Pang .
The authorized official title is President and has the following contact phone number (949) 206-0360.

The CLIA number assigned to this NPI record is 05D2017328 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2008 and was last updated on 3/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyA69884CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A69884OTHERCALIFORNIASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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