Provider Demographics
NPI:1568788016
Name:TED SHEN M.D., INC
Entity Type:Organization
Organization Name:TED SHEN M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-737-6200
Mailing Address - Street 1:225 S 1ST AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3662
Mailing Address - Country:US
Mailing Address - Phone:626-737-6200
Mailing Address - Fax:626-737-6202
Practice Address - Street 1:225 S 1ST AVE STE 201
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3662
Practice Address - Country:US
Practice Address - Phone:626-737-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty