Organization
E. SHIBATA PODIATRY CORP.
Active
Other names
Pacific Sun Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY SUN SHIBATA DPM (CHIEF EXECUTIVE OFFICER)
(714) 373-8787
Entity
Organization
Contact information
Practice address
6042 BOLSA AVE, HUNTINGTON BEACH, CA 92647-2443
(714) 373-8787
Mailing address
6042 BOLSA AVE, HUNTINGTON BEACH, CA 92647-2443
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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