Individual
JESSICA SHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MEDICAL SURGE 1, IRVINE, CA 92697
(949) 824-4405
Mailing address
118 MEDICAL SURGE 1, IRVINE, CA 92697-0001
(949) 824-4405
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A145996
CA
Other
Enumeration date
03/31/2015
Last updated
09/30/2019
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