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Individual

DR. ALEXANDER JEFFREY SHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
(310) 891-6623
(310) 891-6673
Mailing address
4404 LUCERA CIR, PALOS VERDES ESTATES, CA 90274-1401
(310) 373-0659

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A77979
CA
208M00000X
Hospitalist Physician
A77979
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6958036
CA
Enumeration date
08/18/2006
Last updated
05/18/2009
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