Healthcare Provider Details

I. General information

NPI: 1396752432
Provider Name (Legal Business Name): FLOYD GILBERT SHON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 10/31/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 CREEK RD STE 130
IRVINE CA
92604-4724
US

IV. Provider business mailing address

37 CREEK RD STE 130
IRVINE CA
92604-4724
US

V. Phone/Fax

Practice location:
  • Phone: 949-855-2772
  • Fax: 949-612-9171
Mailing address:
  • Phone: 949-855-2772
  • Fax: 949-612-9171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG85470
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberG85470
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: