# JEN-KWAY SHEN, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538323647
- **Authorized official:** DR. JEN-KWAY SHEN M.D. (PRESIDENT)
- **Authorized official phone:** (626) 854-2828

## Contact information

- **Practice address:** 1850 S AZUSA AVE, 118, HACIENDA HTS, CA 91745-6813
- **Practice address phone:** (626) 854-2828
- **Practice address fax:** (626) 854-2829
- **Mailing address:** 1850 S AZUSA AVE, 118, HACIENDA HTS, CA 91745-6813
- **Mailing address phone:** (626) 854-2828
- **Mailing address fax:** (626) 854-2829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A44321 | CA | Yes |

## Other

- **Enumeration date:** 07/17/2008
- **Last updated:** 07/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A443210 | — | CA |