Individual
TONY K SHUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
889 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-2724
(626) 285-0800
(626) 285-0830
Mailing address
889 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-2724
(626) 285-0800
(626) 285-0830
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G40567
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G405671
—
CA
Enumeration date
06/02/2006
Last updated
07/08/2007
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