Provider Demographics
NPI:1699398016
Name:ANG, JOSHUA BENJAMIN (DO)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:BENJAMIN
Last Name:ANG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 N MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1740
Mailing Address - Country:US
Mailing Address - Phone:818-858-2071
Mailing Address - Fax:626-792-2328
Practice Address - Street 1:94 N MADISON AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1740
Practice Address - Country:US
Practice Address - Phone:818-858-2071
Practice Address - Fax:626-792-2328
Is Sole Proprietor?:No
Enumeration Date:2020-05-20
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A23828207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology