# DR. SHYH MINE LII

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1922150267
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A48765 | CA | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 03/23/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A487651 | — | CA |
| 01 | — | 95-4378100 | TAX ID | CA |
| 01 | — | 95-4838332 | TAX ID | CA |
| 01 | — | A48765 | LICENSE NUMBER | CA |