Individual
DR. SHAWN DAVID MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P, D.C
Contact information
Practice address
3585 5TH AVE, SUITE 100, SAN DIEGO, CA 92103-5081
(619) 501-5383
(619) 501-5390
Mailing address
3585 5TH AVE, SUITE 100, SAN DIEGO, CA 92103-5081
(619) 501-5383
(619) 501-5390
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP003901
CA
Other
Enumeration date
09/30/2012
Last updated
09/30/2012
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