# SHANG-TIAN CHUANG, D.O., INC.

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

## Provider details

- **NPI number:** 1700225927
- **Authorized official:** SHANG-TIAN CHUANG D.O. (PRESIDENT/LABORATORY DIRECTOR)
- **Authorized official phone:** (323) 260-4184

## Contact information

- **Practice address:** 4060 WHITTIER BLVD, LOS ANGELES, CA 90023-2526
- **Practice address phone:** (323) 260-4106
- **Mailing address:** PO BOX 10076, VAN NUYS, CA 91410-0076
- **Mailing address phone:** (805) 578-8300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 20A8851 | CA | Yes |

## Other

- **Enumeration date:** 06/20/2013
- **Last updated:** 06/20/2013