Individual
DR. BOBBY SHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
3000 LAS POSITAS RD, LIVERMORE, CA 94551-9627
(925) 243-2600
(925) 243-2708
Mailing address
3000 LAS POSITAS RD, LIVERMORE, CA 94551-9627
(925) 243-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20214
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2019
Last updated
12/07/2022
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