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

Jerry Shen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609571512

Jerry Shen is a Student in an Organized Health Care Education/Training Program in Sylmar, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

14445 Olive View Dr Dept OF Medicine Rm 2B182
Sylmar, CA 91342
Phone: (747) 210-3205
Show map & directions

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 number1609571512
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2023
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address1559 Carnavon Way, San Jose, CA 95131-2482

Other providers in Sylmar