Organization
ALEXANDER J. SHEN, M.D, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER JEFFREY SHEN M.D. (OWNER)
(310) 891-6623
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104370
—
CA
Enumeration date
11/07/2006
Last updated
05/18/2009
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