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Organization

SHANG-TIAN CHUANG, D.O., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANG-TIAN CHUANG D.O. (PRESIDENT/LABORATORY DIRECTOR)
(323) 260-4184
Entity
Organization

Contact information

Practice address
4060 WHITTIER BLVD, LOS ANGELES, CA 90023-2526
(323) 260-4106
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20A8851
CA

Other

Enumeration date
06/20/2013
Last updated
06/20/2013
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