Provider Demographics
NPI:1558405092
Name:SHIH, VANIA (PT)
Entity Type:Individual
Prefix:
First Name:VANIA
Middle Name:
Last Name:SHIH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9333 GENESEE AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2111
Mailing Address - Country:US
Mailing Address - Phone:858-453-3000
Mailing Address - Fax:858-453-3066
Practice Address - Street 1:9333 GENESEE AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2111
Practice Address - Country:US
Practice Address - Phone:858-453-3000
Practice Address - Fax:858-453-3066
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26156225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist