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Individual

BRENDAN SHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 MEDICAL PLAZA DRIVEWAY SUITE 755, LOS ANGELES, CA 90095-0005
(310) 319-1234
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-0005

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A182058
CA
390200000X
Student in an Organized Health Care Education/Training Program
PTL1647
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/03/2017
Last updated
07/06/2026
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