| Kenneth Shan MD Inc | |
|
612 W Duarte Rd Ste 601 Arcadia CA 91007-9240 | |
| (818) 659-5887 | |
| (320) 640-1309 |
| Full Name | Kenneth Shan MD Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 612 W Duarte Rd Ste 601, Arcadia, California |
| Authorized Official Name and Position | Kenneth Leo Shan (PRESIDENT) |
| Authorized Official Contact | 8186595887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Shan MD Inc 612 W Duarte Rd Ste 601 Arcadia CA 91007-9240 Ph: (818) 659-5887 | Kenneth Shan MD Inc 612 W Duarte Rd Ste 601 Arcadia CA 91007-9240 Ph: (818) 659-5887 |
| NPI Number | 1770430464 |
|---|---|
| Provider Enumeration Date | 03/12/2026 |
| Last Update Date | 03/12/2026 |
| Certification Date | 03/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770430464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
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