Organization
FV PHYSICAL MEDICINE
Active
Other names
Daniel Shin MD, A Medical Profession Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DUNDAS (SHAREHOLDER)
(714) 965-5146
Entity
Organization
Contact information
Practice address
10990 WARNER AVE STE E, FOUNTAIN VALLEY, CA 92708-3849
(714) 965-0306
(714) 965-5148
Mailing address
10990 WARNER AVENUE SUITE E, FOUNTAIN VALLEY, CA 92708
(714) 965-5146
(714) 965-5148
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G075155
CA
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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