| Brian Wc Shen, MD | |
|
1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | |
| (626) 851-1011 | |
| Not Available |
| Full Name | Brian Wc Shen |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1011 Baldwin Park Blvd, Baldwin Park, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225186034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A81277 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Wc Shen, MD 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-1011 | Brian Wc Shen, MD 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-1011 |
Hla H. Kyi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Jose Dalio Berganza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14514 Ramona Blvd, Suite 3, Baldwin Park, CA 91706 Phone: 626-337-0424 Fax: 626-813-9095 | |
Pamela S. Wald, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Mohammed Ferozuddin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Milagros P. Minaya, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Samia Gerets Ateia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14135 Francisquito Ave, #106, Baldwin Park, CA 91706 Phone: 626-960-3753 Fax: 626-962-9866 | |
Elenita C. Silva-aquino, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |