Individual
DR. FREDERICK T SHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
Mailing address
PO BOX 720, WHITTIER, CA 90608-0720
(562) 698-0811
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
G57032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447398300
NPI GROUP #
CA
Enumeration date
02/02/2007
Last updated
07/08/2007
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