Organization
HAI SHAO MD. PHD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAI SHAO MD. PH.D (PRESIDENT)
(619) 567-3205
Entity
Organization
Contact information
Practice address
3525 DEL MAR HEIGHTS RD # 806, SAN DIEGO, CA 92130-2199
(619) 567-3205
Mailing address
3525 DEL MAR HEIGHTS RD # 806, SAN DIEGO, CA 92130-2199
(619) 567-3205
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A79601
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912178237
—
CA
Enumeration date
03/14/2008
Last updated
12/18/2014
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