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Individual

DR. JONATHAN MOU JUN SHIAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
280 NEWPORT CENTER DR STE 235, NEWPORT BEACH, CA 92660-7524
(949) 593-6797
(949) 276-3221
Mailing address
280 NEWPORT CENTER DR STE 235, NEWPORT BEACH, CA 92660-7524
(949) 593-6797
(949) 276-3221

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
143632
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134407166
WI
Enumeration date
07/25/2011
Last updated
03/23/2026
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