Individual
MS. JEANNIE SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
625 S FAIR OAKS AVE, PASADENA, CA 91105-2613
(424) 314-0182
(424) 314-0185
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
A70643
CA
208800000X
Urology Physician
A70643
CA
Other
Enumeration date
10/02/2006
Last updated
07/21/2022
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