Healthcare Provider Details

I. General information

NPI: 1750157632
Provider Name (Legal Business Name): ANNA SHI MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 UPPER RAGSDALE DR STE 200
MONTEREY CA
93940-7858
US

IV. Provider business mailing address

21 UPPER RAGSDALE DR STE 200
MONTEREY CA
93940-7858
US

V. Phone/Fax

Practice location:
  • Phone: 831-372-1500
  • Fax: 831-655-6493
Mailing address:
  • Phone: 831-372-1500
  • Fax: 831-655-6493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. ADRIANNE ROJAS
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 831-372-1500