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General NPI Number Information
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NPI Number | 1063483162
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Entity Type | Individual
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Provider Name | BRIAN SHIH MD
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Gender | Male
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Dates
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Enumeration Date | 01/28/2006
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 12626 RIVERSIDE DR STE 302
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-3474
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Country | US
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Telephone | 818-760-2993
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Fax | 818-760-2999
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Provider Business Mailing Address
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Address Line | 12626 RIVERSIDE DR STE 302
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-3474
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Country | US
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Telephone | 818-986-0200
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Fax | 818-986-4393
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A62636
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License Number State | CA
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