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NPI Code Detail

MEDICARE: RICHARD SHEN DPT

MEDICARE:   RICHARD  SHEN  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist32477CA

General Provider Information

NPI Number : 1477515559
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD SHEN DPT
Provider Business Mailing Address
First Line : 388 E OCEAN BLVD
Second Line : #305
City : LONG BEACH
State : CA
Zip : 90802-5252
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 388 E OCEAN BLVD
Second Line : #305
City : LONG BEACH
State : CA
Zip : 90802-5252
Country : US
Telephone Number : 310-800-7436
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 01/20/2012

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Directions to “ RICHARD SHEN DPT” Practice Location

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