Individual
MARILYN SHIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 N MACLAY AVE, STE 2, SAN FERNANDO, CA 91340-2909
(818) 837-1355
Mailing address
PO BOX 9321, GLENDALE, CA 91226-0321
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A46449
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A464490
—
CA
Enumeration date
10/24/2006
Last updated
07/09/2007
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