Pang, Jason

Pang, Jason is an sole proprietor health care provider with primary practice located at 24712 Clarington Dr , Laguna Hills CA 92653-4305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Pang, Jason can be contacted via phone (949) 770-1122.

Contact Information

Primary practice address
24712 Clarington Dr Laguna Hills CA 92653-4305
Phone: (949) 770-1122
Fax: (949) 770-9189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A69884 California
Other Service Providers / Specialist 174400000X A69884 California

Profile Details

NPI number 1679644181
LBN Legal business name Pang, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Apr 4th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679644181 NPPES
California MEDICAID 00A698840

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