Individual
DR. SHYH MINE LII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3859 ROSEMEAD BLVD, ROSEMEAD, CA 91770-1976
(626) 572-4044
(626) 572-0962
Mailing address
3859 N. ROSEMEAD BLVD, ROSEMEAD, CA 91770
(626) 572-4044
(626) 572-0962
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A48765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A487651
—
CA
01
—
95-4378100
TAX ID
CA
01
—
95-4838332
TAX ID
CA
01
—
A48765
LICENSE NUMBER
CA
Enumeration date
01/17/2007
Last updated
03/23/2017
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