Provider Demographics
NPI:1790960771
Name:CANGA, JOEL H (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:H
Last Name:CANGA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5080 SPECTRUM DR
Mailing Address - Street 2:SUITE 1200 WEST
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4648
Mailing Address - Country:US
Mailing Address - Phone:800-232-3550
Mailing Address - Fax:
Practice Address - Street 1:1001B PITTSBURG ANTIOCH HWY
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-4199
Practice Address - Country:US
Practice Address - Phone:925-439-6169
Practice Address - Fax:925-439-6387
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2010-02-16
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Provider Licenses
StateLicense IDTaxonomies
CAA513282083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ07334ZMedicare PIN
CACG906ZMedicare UPIN