Individual
DR. SHINTO JACOB KOSHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1041 E YORBA LINDA BLVD STE 210, PLACENTIA, CA 92870-3763
(818) 386-6358
(714) 223-7000
Mailing address
1041 E YORBA LINDA BLVD STE 210, PLACENTIA, CA 92870-3763
(818) 386-6358
(714) 223-7000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A139304
CA
208VP0014X
Interventional Pain Medicine Physician
A139304
CA
Other
Enumeration date
08/15/2009
Last updated
10/20/2021
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