Organization Active NPI

Glenn M. L. Pang, MD, Inc

  • Non-Pharmacy Dispensing Site
  • Honolulu, HI
National Provider Identifier
1689019176
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
GLENN M. L. PANG, MD, INC
Practice address
2226 Liliha St
Suite 405
Honolulu, HI 96817-1600
Phone
(808) 533-1708
NPI assigned
May 9, 2013
Organization subpart
Yes
Parent organization
GLENN M. L. PANG, MD, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Glenn M. L. Pang, MDNPI 1043307754
Title
Owner
Phone
(808) 533-1708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

2226 Liliha St
Suite 405
Honolulu, HI 96817-1600

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Part of
Glenn ML Pang MD Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1689019176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST",
            "address_2": "SUITE 405",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171600",
            "telephone_number": "808-533-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN M. L. PANG, MD, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLENN M. L. PANG, MD, INC",
        "enumeration_date": "2013-05-09",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "M. L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-533-1708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.