Individual
MAN RYUL SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
722 BAKER ST, COSTA MESA, CA 92626-4320
(714) 557-6300
(714) 966-9567
Mailing address
722 BAKER ST, COSTA MESA, CA 92626-4320
(714) 557-6300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A97707
CA
207RR0500X
Rheumatology Physician
Primary
A97707
CA
Other
Enumeration date
09/06/2007
Last updated
05/06/2020
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