Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A115444 | CA |
Y | 111NI0900X | Internist | A115444 | CA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 44402 | AZ |
NPI | 1073784492 |
---|---|
Provider Name | Dr. Soo Shin Rhee |
First Address | San Francisco, CA 94139-0001 |
Second Address | Pleasanton, CA 94588-3274 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2008 |
Last Update Date | 29/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
115444 | LICENSE (01) | CA |