EDWARD PANG (NPI# 1285920090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285920090 |
| Entity Type | Individual |
| Full Name | EDWARD PANG |
| Credential | D.O. |
| Practice Address |
11301 Wilshire Blvd Mail #117 Los Angeles CA 90073-1003 |
| Mailing Address |
Po Box 69663 Los Angeles CA 90069-0663 |
| Practice Telephone | 3104783711 |
| Mailing Telephone | 3104783711 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2018-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
20A12433 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
11301 WILSHIRE BLVD MAIL #117 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90073-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739043 | Mark S Horng | Internal Medicine | 11301 Wilshire Blvd, 10-c-1, Los Angeles, CA 90073-1003 | 2005-06-09 |
| 1720685944 | Sara Magdalin | Dietitian, Registered | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-10-01 |
| 1336750223 | Nathalie Esther Halajian | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-08-13 |
| 1811508344 | Hillary Xanthe Enclade | Speech-Language Pathologist | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-08-10 |
| 1356950919 | Maren Abromowitz | Registered Nurse | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-07-29 |
| 1285243030 | Alyson Prince Shittu | Registered Nurse | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-07-28 |
| 1124637087 | Soheil Kooraki | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-07-27 |
| 1376152371 | Ynez Sabio | Registered Nurse | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-07-24 |
| 1154949972 | Leah Effron | Registered Nurse | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-07-08 |
| 1972120988 | Justin Man Truong | Pharmacist | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1184285090 | Marcela Leticia Orellana Galvez | Podiatrist | 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 | 2019-06-23 |
| 1508310996 | Jennifer Maravola | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Bl. Bdg 116, New Direction Inc., Los Angeles, CA 90073 | 2016-08-15 |
| 1861859480 | Michael Fisher | Student in an Organized Health Care Education/Training Program | 11303 Willshire Blv., V.a. Building 116, Los Angeles, CA 90073 | 2016-01-27 |
| 1629453295 | Christopher Denzel Lewis | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Blvd., Va Bldg. 116, Los Angeles, CA 90073 | 2015-07-24 |
| 1689089179 | Rachel Stannus | Social Worker | 11303 Wilshire Blvd, Bldg116, Los Angeles, CA 90073 | 2014-06-24 |
| 1215355433 | Michael Francis Zito | Psychiatry & Neurology | 11301 Wilshire Blvd Bldg 210a, Los Angeles, CA 90073 | 2014-04-03 |
| 1831523901 | Sarah Arensman Miller | Psychologist | 11301 Wilshire Blvd. Bldg 256, Rm 106a, Va West Los Angeles (116b), Los Angeles, CA 90073 | 2013-08-26 |
| 1134447733 | Stuart Thomas Yee | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd. Mail Code 117, Los Angeles, CA 90073 | 2010-05-07 |
| 1306177654 | Pete Petriashvili | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd, Building 500, Room 4455, Los Angeles, CA 90073 | 2010-01-27 |
| Find all providers in zip 90073 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578871356 | Hyun-chang Choi | Physical Medicine & Rehabilitation | 1110 S Lake St Apt 307, Los Angeles, CA 90006-3688 | 2010-09-15 |
| 1801118716 | Kenith K Paresa, Md A Professional Corp | Physical Medicine & Rehabilitation | 1964 Westwood Blvd Ste 435, Los Angeles, CA 90025 | 2010-02-18 |
| 1710041504 | Paul Leonard | Physical Medicine & Rehabilitation | 5266 W Olympic Blvd, Los Angeles, CA 90036-4916 | 2006-12-19 |
| 1437179934 | Bipin B Bharatwal | Physical Medicine & Rehabilitation | 11728 Dorothy St, Apt 309, Los Angeles, CA 90049-5560 | 2006-07-20 |
| 1285274035 | In-line Medical, Inc., A Professional Medical Corporation | Physical Medicine & Rehabilitation | 1127 Wilshire Blvd Ste 510, Los Angeles, CA 90017-3906 | 2020-01-09 |
| 1891202263 | Edward K. Pang Medical Corporation | Physical Medicine & Rehabilitation | 444 S San Vicente Blvd Ste 901, Los Angeles, CA 90048-4174 | 2018-01-06 |
| 1386031201 | Eric Sun | Physical Medicine & Rehabilitation | 1520 San Pablo St Ste 2000, Los Angeles, CA 90033 | 2015-04-17 |
| 1861810368 | Ian Dworkin | Physical Medicine & Rehabilitation | 8436 W 3rd St Ste 800, Los Angeles, CA 90048-4100 | 2014-04-01 |
| 1942540224 | Active Pain Relief Inc | Physical Medicine & Rehabilitation | 4601 Wilshire Blvd, 3rd Floor, Los Angeles, CA 90010-3880 | 2013-02-22 |
| 1861622490 | Radiance Health Group, Inc | Physical Medicine & Rehabilitation | 11860 Wilshire Blvd, Ste 100, Los Angeles, CA 90025-6613 | 2009-07-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90073 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.