Alice Pang, O.D., a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ALICE PANG, O.D., A PROFESSIONAL CORPORATION

Practice address

141 Lakewood Center Mall
Lakewood, CA 90712-2419

Phone

(562) 602-0368

Fax

(888) 965-0574

NPI assigned

Apr 30, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Alice Pang, ODNPI 1629233754

Title

Ceo/Optometrist

Phone

(562) 602-0368

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Alice Eunchai Pang, O.D.

  • Optometrist
  • Lakewood, CA
  • NPI 1629233754
  NPD Authorized official

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1699339127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12642 OHMER WAY",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414826",
            "telephone_number": "562-602-0368",
            "fax_number": "888-965-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LAKEWOOD CENTER MALL",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122419",
            "telephone_number": "562-602-0368",
            "fax_number": "888-965-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE PANG, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CEO/OPTOMETRIST",
        "authorized_official_telephone_number": "562-602-0368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629233754",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drpang4569@eyeappts.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "141 Lakewood Center Mall",
            "city": "Lakewood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907122419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olivia Alejaldre
• Breea Alex
• Mienisha Alexander
• Genesis Alfaro, THERAPIST
• Tabassum Ali, D.C.
• Sultanali Alidina, M.D.
• All Pro Health Center
• All We Need Is Love LLC
• Alliance Hospitalist Medical Corporation
• Alliance Physicians Medical Group

• Optometrist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.