Provider Demographics
NPI:1831392299
Name:SHI, WEIHUA (LAC, OMD, PHD)
Entity type:Individual
Prefix:
First Name:WEIHUA
Middle Name:
Last Name:SHI
Suffix:
Gender:F
Credentials:LAC, OMD, PHD
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:SHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC, OMD, PHD
Mailing Address - Street 1:555 E FOOTHILL BLVD STE 9
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786
Mailing Address - Country:US
Mailing Address - Phone:909-920-5817
Mailing Address - Fax:909-243-1186
Practice Address - Street 1:555 E FOOTHILL BLVD STE 9
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786
Practice Address - Country:US
Practice Address - Phone:909-920-5817
Practice Address - Fax:909-243-1186
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 11056171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist