| An Pang Chieng Md A Professional Corporation | |
|
3301 N Eastern Ave Los Angeles CA 90032-1931 | |
| (323) 225-2351 | |
| (323) 225-7555 |
| Full Name | An Pang Chieng Md A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 3301 N Eastern Ave, Los Angeles, California |
| Authorized Official Name and Position | An Pang Chieng (OWNER/PRESIDENT) |
| Authorized Official Contact | 3232252351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| An Pang Chieng Md A Professional Corporation 3301 N Eastern Ave Los Angeles CA 90032-1931 Ph: (323) 225-2351 | An Pang Chieng Md A Professional Corporation 3301 N Eastern Ave Los Angeles CA 90032-1931 Ph: (323) 225-2351 |
| NPI Number | 1336189117 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 10/11/2007 |
| Medicare PECOS PAC ID | 5799701827 |
|---|---|
| Medicare Enrollment ID | O20051018001181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336189117 | NPI | - | NPPES |
| 00AX80550 | Medicaid | CA | |
| 00A480480 | Medicaid | CA | |
| 00G666480 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G66648 (California) | Secondary |
| 208D00000X | General Practice | A48048 (California) | Secondary |
| 207Q00000X | Family Medicine | 20A8055 (California) | Primary |
| Provider Name | An Pang Chieng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821030305 PECOS PAC ID: 8123912987 Enrollment ID: I20040211001284 |
| Provider Name | Wei D Show |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386686889 PECOS PAC ID: 9638197288 Enrollment ID: I20051102001050 |
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