Healthcare Provider Details

I. General information

NPI: 1790612810
Provider Name (Legal Business Name): HUBERT B SHIH MD A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10430 S DE ANZA BLVD STE 170
CUPERTINO CA
95014-3000
US

IV. Provider business mailing address

10430 S DE ANZA BLVD STE 170
CUPERTINO CA
95014-3000
US

V. Phone/Fax

Practice location:
  • Phone: 408-650-8989
  • Fax:
Mailing address:
  • Phone: 408-650-8989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: HUBERT B SHIH
Title or Position: PRESIDENT
Credential: MD
Phone: 408-650-8989