Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Leo Shan, MD

Individual provider Gastroenterology Physician · NPI 1629605431

Dr. Kenneth Leo Shan, MD is a Gastroenterology Physician in Arcadia, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

612 W Duarte Rd Ste 601
Arcadia, CA 91007-9240
Phone: (818) 659-5887
Fax: (320) 640-1309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 185090 (CA)

Record details

NPI number1629605431
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2020
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

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