Individual
MR. JENTA SHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SHRADER STREET, #400, SAN FRANCISCO, CA 94117-1035
(415) 668-0900
(415) 668-0950
Mailing address
1 SHRADER STREET, #400, SAN FRANCISCO, CA 94117-1035
(415) 668-0900
(415) 668-0950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A30257
CA
207VG0400X
Gynecology Physician
A30257
CA
207VX0201X
Gynecologic Oncology Physician
Primary
A30257
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4041619
—
CA
Enumeration date
07/12/2005
Last updated
10/05/2021
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