Individual
CAROLINE SHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6911 CONVOY CT, SAN DIEGO, CA 92111-1014
(833) 574-2273
Mailing address
6911 CONVOY CT, SAN DIEGO, CA 92111-1014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A178574
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
08/22/2022
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