Individual provider · NPI-1

Dr. Katie Ruth Pang, M.D.

Dermatology · Monterey Park, CA

NPI number1750439873
StatusActive
Last updated in NPPESMar 9, 2020

Details

NPI
1750439873
Entity type
Individual (NPI-1)
Name
Dr. Katie Ruth Pang
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jan 8, 2007
Certification date
Mar 9, 2020
Last updated
Mar 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyA84059CAYes

Practice location

500 N Garfield Ave Ste 102
Monterey Park, CA 91754-1242

Phone 626-308-0600

Mailing address

Po Box 286
Alhambra, CA 91802-0286

Phone 626-308-0600

Other practice locations

9 E Shorb St
Alhambra, CA 91801-5123

Phone 626-308-0600

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