Provider Demographics
NPI:1952578585
Name:SHIH MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:SHIH MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-760-2993
Mailing Address - Street 1:12626 RIVERSIDE DR STE 302
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-3474
Mailing Address - Country:US
Mailing Address - Phone:818-760-2993
Mailing Address - Fax:818-760-2999
Practice Address - Street 1:12626 RIVERSIDE DR STE 302
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-3474
Practice Address - Country:US
Practice Address - Phone:818-760-2993
Practice Address - Fax:818-790-2999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62636207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA62636OtherMEDICARE LICENSE
CA1063483162OtherIND NPI
CA1063483162OtherIND NPI