Individual
SHANG-TIAN CHUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4060 WHITTIER BLVD, LOS ANGELES, CA 90023-2526
(323) 260-4184
(419) 866-5453
Mailing address
4060 WHITTIER BLVD, LOS ANGELES, CA 90023-2526
(323) 260-4184
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20A8851
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
OS10083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278580300
—
FL
01
—
78214
BCBS
FL
Enumeration date
05/24/2007
Last updated
07/12/2017
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