Individual
SHANE S PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 S GARFIELD AVE, STE. 201, ALHAMBRA, CA 91801-5859
(626) 656-1324
(626) 656-1264
Mailing address
707 S GARFIELD AVE, STE. 201, ALHAMBRA, CA 91801-5859
(626) 656-1324
(626) 656-1264
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C52715
CA
Other
Enumeration date
06/15/2006
Last updated
07/10/2007
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