| Andrew Shieh | |
|
2563 Zoe Ave Huntington Park CA 90255-4070 | |
| (323) 588-6384 | |
| (323) 588-6385 |
| Full Name | Andrew Shieh |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2563 Zoe Ave, Huntington Park, California |
| Authorized Official Name and Position | Andrew C Shieh (PRESIDENT) |
| Authorized Official Contact | 3235886384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Shieh 2563 Zoe Ave Huntington Park CA 90255-4070 Ph: (323) 588-6384 | Andrew Shieh 2563 Zoe Ave Huntington Park CA 90255-4070 Ph: (323) 588-6384 |
| NPI Number | 1356530141 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356530141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | B44084-01 (California) | Primary |
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