Provider Demographics
NPI:1205083730
Name:STEVEN T. SHU O.M.D., INC.
Entity type:Organization
Organization Name:STEVEN T. SHU O.M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:TING-BIN
Authorized Official - Last Name:SHU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, OMD
Authorized Official - Phone:714-973-1778
Mailing Address - Street 1:2220 E. FRUIT ST.
Mailing Address - Street 2:SUITE 112
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701
Mailing Address - Country:US
Mailing Address - Phone:714-973-1778
Mailing Address - Fax:714-973-8567
Practice Address - Street 1:2220 E. FRUIT ST.
Practice Address - Street 2:SUITE 112
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701
Practice Address - Country:US
Practice Address - Phone:714-973-1778
Practice Address - Fax:714-973-8567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALAC3928171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty