Dr Samuel Shing Kwan Phen, MD is a
Internal Medicine - Gastroenterology physician based in Irwindale, California. Dr Samuel Shing Kwan Phen is licensed to practice in California (license number A185463) and his current practice location is 12761 Schabarum Ave, Irwindale, California. He can be reached at his office (for appointments etc.) via phone at
(833) 574-2273.
NPI number for Dr Samuel Shing Kwan Phen is 1619504347 and his current mailing address is 12761 Schabarum Ave, Irwindale, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619504347.
Physician's Profile
| Full Name | Dr Samuel Shing Kwan Phen |
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| Gender | Male |
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| Speciality | Internal Medicine - Gastroenterology |
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| Location | 12761 Schabarum Ave, Irwindale, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619504347
- Provider Enumeration Date: 03/24/2020
- Last Update Date: 09/24/2026
Medical Identifiers
Medical identifiers for Dr Samuel Shing Kwan Phen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619504347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A185463 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel Shing Kwan Phen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Samuel Shing Kwan Phen, MD
12761 Schabarum Ave,
Irwindale, CA 91706-6807
Ph: (833) 574-2273 | Dr Samuel Shing Kwan Phen, MD
12761 Schabarum Ave,
Irwindale, CA 91706-6807
Ph: (833) 574-2273 |
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