Provider Demographics
NPI:1649782715
Name:FLOYD G SHON MD INC
Entity type:Organization
Organization Name:FLOYD G SHON MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:G
Authorized Official - Last Name:SHON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-855-2772
Mailing Address - Street 1:37 CREEK ROAD, STE 130
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-8053
Mailing Address - Country:US
Mailing Address - Phone:949-855-2772
Mailing Address - Fax:949-612-9171
Practice Address - Street 1:37 CREEK ROAD, STE 130
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604
Practice Address - Country:US
Practice Address - Phone:949-855-2772
Practice Address - Fax:949-612-9171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-30
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG85470207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG85470OtherSTATE LICENSE