Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samuel Shing Kwan Phen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619504347

Dr. Samuel Shing Kwan Phen, MD is a Student in an Organized Health Care Education/Training Program in Riverside, California. Registered with an NPI since 2020.

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

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Practice location Address checks out

14350 Meridian Pkwy
Riverside, CA 92518-3035
Phone: (909) 475-2612
Fax: (909) 475-5059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619504347
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address14350 Meridian Pkwy, Riverside, CA 92518-3035

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