| Michael W Shen, M.d., Inc | |
|
23961 Calle De La Magdalena Suite 317 Laguna Hills CA 92653-3616 | |
| (949) 837-1133 | |
| (949) 581-9189 |
| Full Name | Michael W Shen, M.d., Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23961 Calle De La Magdalena, Laguna Hills, California |
| Authorized Official Name and Position | Michael W Shen (OWNER/SELF) |
| Authorized Official Contact | 9498371133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W Shen, M.d., Inc 23961 Calle De La Magdalena Suite 317 Laguna Hills CA 92653-3616 Ph: (949) 837-1133 | Michael W Shen, M.d., Inc 23961 Calle De La Magdalena Suite 317 Laguna Hills CA 92653-3616 Ph: (949) 837-1133 |
| NPI Number | 1386811644 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Medicare PECOS PAC ID | 9830252675 |
|---|---|
| Medicare Enrollment ID | O20090106000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386811644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A80928 (California) | Primary |
| Provider Name | Michael W Shen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154402238 PECOS PAC ID: 9436151099 Enrollment ID: I20070209000647 |
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