Provider Demographics
NPI:1316047228
Name:SHANG, BARBARA (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:SHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15785 LAGUNA CANYON RD STE 350
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3184
Mailing Address - Country:US
Mailing Address - Phone:949-726-1888
Mailing Address - Fax:
Practice Address - Street 1:15785 LAGUNA CANYON RD STE 350
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3184
Practice Address - Country:US
Practice Address - Phone:949-726-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70916207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH39989Medicare UPIN
CAWA70916CMedicare PIN