person
Dr. Samuel Shing Kwan Phen, MD
Student in an Organized Health Care Education/Training Program in Riverside, California
NPI 1619504347

Samuel Shing Kwan Phen is a Student in an Organized Health Care Education/Training Program based in Riverside, CA. Samuel Shing Kwan Phen practices in Riverside, CA and has the professional credentials of MD. The NPI Number for Samuel Shing Kwan Phen is 1619504347 and holds a License No. (California).

The current practice location address for Samuel Shing Kwan Phen is 14350 Meridian Pkwy, Riverside, CA and can be reached out via phone at 909-475-2612 and via fax at 909-475-5059.

Location: 14350 Meridian Pkwy, Riverside, CA, 92518-3035
person
Provider Profile Details
NPI Number
1619504347
Provider Name
Samuel Shing Kwan Phen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14350 Meridian Pkwy, Riverside, CA, 92518-3035
Phone Number
909-475-2612
Fax Number
909-475-5059
Provider Enumeration Date
03/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14350 Meridian Pkwy
City
State
Zip
92518-3035
Phone Number
909-475-2612
Fax Number
909-475-5059
person
Provider Business Mailing Address Details
Address
14350 Meridian Pkwy
City
State
Zip
92518-3035
Phone Number
909-475-2612
Fax Number
909-475-5059
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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