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KENNETH SHAN MD INC
NPI 1770430464
Internal Medicine - Gastroenterology in Arcadia, CA

Active since March 12, 2026
612 W DUARTE RD STE 601, ARCADIA, CA 91007(818) 659-5887(320) 640-1309 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Shan Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH SHAN MD INC (NPI 1770430464) is a healthcare organization registered as a gastroenterology in Arcadia, California and active in the NPI registry since March 2026. The organization lists Kenneth Leo Shan, President, as its authorized official.

NPPES Registry Identity

NPI1770430464
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameKENNETH SHAN MD INC
Location Address612 W DUARTE RD STE 601Arcadia, CA 91007-9240
Mailing Address612 W Duarte Rd Ste 601Arcadia, CA 91007-9240 · (818) 659-5887 · Fax (320) 640-1309
Phone(818) 659-5887
Fax(320) 640-1309
Organization SubpartNo
Authorized OfficialKenneth Leo ShanPresident · (818) 659-5887
Enumeration DateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1770430464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
612 W DUARTE RD STE 601, Arcadia, CA 91007
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH LEO SHAN MD
Internal Medicine (Gastroenterology)
612 W DUARTE RD STE 601
ARCADIA, CA 91007
Los Angeles County (818) 659-5887
SUNNY LO D.O.
Internal Medicine (Gastroenterology)
612 W DUARTE RD STE 601
ARCADIA, CA 91007
Los Angeles County (818) 659-5887
SUNNY LO DO A PROFESSIONAL CORPORATION
Internal Medicine (Gastroenterology)
612 W DUARTE RD STE 601
ARCADIA, CA 91007
Los Angeles County (818) 659-5887

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Shan MD Inc's NPI number?

The NPI number for Kenneth Shan MD Inc is 1770430464. It was assigned to this organization in the NPPES registry on March 12, 2026.

Where is Kenneth Shan MD Inc located?

Kenneth Shan MD Inc is located at 612 W Duarte Rd Ste 601, Arcadia, CA 91007. The listed phone number is (818) 659-5887.

What is Kenneth Shan MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Kenneth Shan MD Inc was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.