Individual
MICKEY R. SHINTAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8135 PAINTER AVE STE 300, WHITTIER, CA 90602-3169
(562) 698-0383
(562) 693-6435
Mailing address
8135 PAINTER AVE STE 300, WHITTIER, CA 90602-3169
(562) 698-0383
(562) 693-6435
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G28448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0048970
—
CA
Enumeration date
01/25/2007
Last updated
06/10/2019
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