Serena Shen, DO | |
1336 Bridgegate Dr, Diamond Bar, CA 91765-3955 | |
(833) 574-2273 | |
Not Available |
Full Name | Serena Shen |
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Gender | Female |
Speciality | Family Medicine |
Location | 1336 Bridgegate Dr, Diamond Bar, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376072207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | SL1243 (Nevada) | Secondary |
207Q00000X | Family Medicine | 18134 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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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 |
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Serena Shen, DO 1336 Bridgegate Dr, Diamond Bar, CA 91765-3955 Ph: () - | Serena Shen, DO 1336 Bridgegate Dr, Diamond Bar, CA 91765-3955 Ph: (833) 574-2273 |
Aaron Lin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Valley Vista Dr, St Jude Heritage Medical Group, Diamond Bar, CA 91765 Phone: 909-860-1144 | |
Melissa A Trevelline, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Grand Ave Ste L, Diamond Bar, CA 91765 Phone: 909-551-0205 Fax: 909-345-7084 | |
Michelle Kang Yun Mo, FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2020 S Brea Canyon Rd Ste A1, Diamond Bar, CA 91765 Phone: 909-861-6853 | |
Sarom Pyun, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Valley Vista Dr, Diamond Bar, CA 91765 Phone: 909-860-1144 | |
Yann Ping Pan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2605 Indian Creek Rd, Diamond Bar, CA 91765 Phone: 917-292-3995 | |
Douglas Starr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Valley Vista Dr, Diamond Bar, CA 91765 Phone: 909-860-1144 Fax: 909-860-8307 | |
William Fenerty, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1514 Valley Vista Dr, Diamond Bar, CA 91765 Phone: 714-449-4842 Fax: 714-449-4816 |