Organization
SHYUN JENG M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYUN JENG M.D. (OWNER)
(310) 792-9229
Entity
Organization
Contact information
Practice address
21350 HAWTHORNE BLVD STE 168, TORRANCE, CA 90503-5612
(310) 792-9229
(310) 316-7117
Mailing address
21350 HAWTHORNE BLVD STE 168, TORRANCE, CA 90503-5612
(310) 792-9229
(310) 316-7117
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A053363
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31146
MEDICARE NHIC
CA
Enumeration date
08/23/2007
Last updated
08/23/2007
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