Individual
GRANT JOSEPH DAT CHIU SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 366-2692
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 366-2692
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
R3210
TX
Other
Enumeration date
03/28/2014
Last updated
04/15/2021
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