Individual
DR. HONGGANG SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2440 S SEPULVEDA BLVD, SUITE 181, LOS ANGELES, CA 90064-1784
(310) 689-1815
(310) 689-1818
Mailing address
19952 E SKYLINE DR, WALNUT, CA 91789-5330
(909) 374-6801
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
15811
NV
207ZD0900X
Dermatopathology (Pathology) Physician
35355
AZ
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
A73185
CA
Other
Enumeration date
06/13/2007
Last updated
09/15/2015
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