Individual
DR. KENNETH LEO SHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
612 W DUARTE RD STE 601, ARCADIA, CA 91007-9240
(818) 659-5887
(320) 640-1309
Mailing address
612 W DUARTE RD STE 601, ARCADIA, CA 91007-9240
(818) 659-5887
(320) 640-1309
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
185090
CA
Other
Enumeration date
03/24/2020
Last updated
03/12/2026
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