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Individual

ANNA JING SHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
21 UPPER RAGSDALE DR STE 200, MONTEREY, CA 93940-7858
(831) 372-1500
Mailing address
21 UPPER RAGSDALE DR STE 200, MONTEREY, CA 93940-7858
(831) 372-1500

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD.205654
LA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
A156796
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02124040
MS
05
2199722
LA
Enumeration date
12/07/2011
Last updated
08/08/2019
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