Individual
MICHAEL W SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, SUITE 317, LAGUNA HILLS, CA 92653-3616
(949) 837-1133
(949) 581-9189
Mailing address
23961 CALLE DE LA MAGDALENA, SUITE 317, LAGUNA HILLS, CA 92653-3616
(949) 837-1133
(949) 581-9189
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A80928
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
262528278
TAX ID
CA
01
—
BD219
PTAN
CA
Enumeration date
10/17/2006
Last updated
01/27/2009
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