Individual
VIVIAN SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
501 S IDAHO ST, LA HABRA, CA 90631-6047
(562) 690-0400
Mailing address
501 S IDAHO ST, LA HABRA, CA 90631-6047
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95027891
CA
Other
Enumeration date
02/06/2024
Last updated
03/02/2024
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