Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A124341 | CA |
N | 207RX0202X | Medical Oncology | A124341 | CA |
NPI | 1063792265 |
---|---|
Provider Name | Dr. James Yu Chang Shen |
First Address | Los Angeles, CA 90051 |
Second Address | Arcadia, CA 91007-3462 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2011 |
Last Update Date | 11/11/2020 |