Individual provider · Type 1 NPI

Kyle Shen

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1154077691 Active

Practice location

200 W Arbor Dr # MC8425
San Diego, CA 92103-1911

Call (619) 543-6266 Map

Mailing address

155 N Fresno St
Fresno, CA 93701-2302

Other practice locations

  • 155 N Fresno St Ste 251, Fresno, CA 93701-2302 · (559) 499-6400

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1154077691

Kyle Shen's National Provider Identifier is 1154077691, issued on Feb 23, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Nov 24, 2025.