Individual
ALDA SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
17717 LA PASAITA CT, ROWLAND HEIGHTS, CA 91748-4113
(626) 450-5700
Mailing address
17717 LA PASAITA CT, ROWLAND HEIGHTS, CA 91748-4113
(626) 450-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA56070
PHYSICIAN ASSISTANT BOARD
CA
Enumeration date
10/05/2018
Last updated
12/22/2023
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