Individual
PHILIP TSUNG HAN SHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-4602
Mailing address
15746 NEWTON ST, HACIENDA HEIGHTS, CA 91745-4144
(626) 333-5652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A8414
CA
207R00000X
Internal Medicine Physician
M0565
TX
207U00000X
Nuclear Medicine Physician
Primary
20A8414
CA
207U00000X
Nuclear Medicine Physician
M0565
TX
Other
Enumeration date
07/20/2006
Last updated
11/29/2021
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