Provider Demographics
NPI:1750330999
Name:SHIH, CHING HSIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHING
Middle Name:HSIN
Last Name:SHIH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 S. ATLANTIC BLVD,
Mailing Address - Street 2:SUITE 221
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-4722
Mailing Address - Country:US
Mailing Address - Phone:626-284-4202
Mailing Address - Fax:626-284-3926
Practice Address - Street 1:941 S. ATLANTIC BLVD,
Practice Address - Street 2:SUITE 221
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-4722
Practice Address - Country:US
Practice Address - Phone:626-284-4202
Practice Address - Fax:626-284-3926
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-06
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA328292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A328290Medicaid
CA00A328290Medicaid
CAC35407Medicare UPIN
C35407Medicare UPIN