Provider Demographics
NPI:1417171125
Name:SHIEH, ALBERT (LAC)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:SHIEH
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 W. DUARTE RD
Mailing Address - Street 2:2A
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7337
Mailing Address - Country:US
Mailing Address - Phone:626-254-8958
Mailing Address - Fax:626-254-8558
Practice Address - Street 1:623 W. DUARTE RD
Practice Address - Street 2:2A
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7337
Practice Address - Country:US
Practice Address - Phone:626-254-8958
Practice Address - Fax:626-254-8558
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALAC# 9305171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist