Individual
JOHN TZE-CHIANG SHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27403 YNEZ RD, SUITE 106, TEMECULA, CA 92591-5603
(951) 526-2044
(951) 894-4667
Mailing address
27403 YNEZ RD, SUITE 106, TEMECULA, CA 92591-5603
(951) 526-2044
(951) 894-4667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A86100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A861000
BLUE SHIELD
CA
01
—
P00399725
RAILROAD MEDICARE PROVIDER NUMBER
CA
Enumeration date
07/31/2006
Last updated
04/22/2008
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