Individual
DR. RONG SHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
728 PACIFIC AVE, SUITE 606, SAN FRANCISCO, CA 94133-4457
(415) 596-3211
(415) 398-5580
Mailing address
728 PACIFIC AVE, SUITE 606, SAN FRANCISCO, CA 94133-4457
(415) 596-3211
(415) 398-5580
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A81146
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A81146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A811460
1
CA
05
—
00A811460
—
CA
01
—
731678750
1
CA
01
—
A81146
1
CA
Enumeration date
11/03/2006
Last updated
12/09/2020
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