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Individual

YONG L SHIH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
1234 E NORTH ST, SUITE 105, MANTECA, CA 95336-4960
(209) 239-8086
Mailing address
1234 E NORTH ST, SUITE 105, MANTECA, CA 95336-4960
(209) 239-8086
(866) 589-7497

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A8865
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00AX88650
CA
01
20A8865
LICENSE NUMBER
CA
Enumeration date
12/22/2005
Last updated
03/12/2025
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