Shen Medicine & Pediatrics Associates A Professional Corporation | |
316 Rosewood Ave San Jose CA 95117-1605 | |
(408) 296-9800 | |
Not Available |
Full Name | Shen Medicine & Pediatrics Associates A Professional Corporation |
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Speciality | Clinic/Center |
Location | 316 Rosewood Ave, San Jose, California |
Authorized Official Name and Position | Al Shen (PRESIDENT) |
Authorized Official Contact | 4082969800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shen Medicine & Pediatrics Associates A Professional Corporation 316 Rosewood Ave San Jose CA 95117-1605 Ph: (408) 296-9800 | Shen Medicine & Pediatrics Associates A Professional Corporation 316 Rosewood Ave San Jose CA 95117-1605 Ph: (408) 296-9800 |
NPI Number | 1285662270 |
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Provider Enumeration Date | 06/29/2006 |
Last Update Date | 07/18/2007 |
Medicare PECOS PAC ID | 7012006950 |
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Medicare Enrollment ID | O20071130000170 |
Identifier | Type | State | Issuer |
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1285662270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | A54917 (California) | Primary |
Provider Name | Albert C Shen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851481758 PECOS PAC ID: 2466541305 Enrollment ID: I20071130000191 |
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