# FV PHYSICAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Daniel Shin MD, A Medical Profession Corporation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811278260
- **Authorized official:** DR. STEPHEN DUNDAS (SHAREHOLDER)
- **Authorized official phone:** (714) 965-5146

## Contact information

- **Practice address:** 10990 WARNER AVE STE E, FOUNTAIN VALLEY, CA 92708-3849
- **Practice address phone:** (714) 965-0306
- **Practice address fax:** (714) 965-5148
- **Mailing address:** 10990 WARNER AVENUE SUITE E, FOUNTAIN VALLEY, CA 92708
- **Mailing address phone:** (714) 965-5146
- **Mailing address fax:** (714) 965-5148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G075155 | CA | Yes |

## Other

- **Enumeration date:** 08/30/2011
- **Last updated:** 08/30/2011