Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | A34731 | CA |
NPI | 1013935154 |
---|---|
Provider Name | Chin Shun Shih |
First Address | Monterey Park, CA 91754-1700 |
Second Address | Monterey Park, CA 91754-1700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 13/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A34731 | (05) | CA |
A84687 | (02) | CA |