Provider Demographics
NPI:1710416938
Name:SHIH, ANGEL (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:SHIH
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 FALLS WAY
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-1780
Mailing Address - Country:US
Mailing Address - Phone:626-759-4336
Mailing Address - Fax:
Practice Address - Street 1:5350 FALLS WAY APT B
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-1766
Practice Address - Country:US
Practice Address - Phone:626-759-4336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17464171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist