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NPI Code Detail

MEDICARE: YAMING SHI MD

MEDICARE: YAMING SHI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianA81918CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A81918OTHERCAMEDICAL LICENSE

General Provider Information

NPI Number : 1275561284
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAMING SHI MD
Provider Business Mailing Address
First Line : 14120 ALONDRA BLVD STE C
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-5842
Country : US
Telephone Number : 562-407-2080
Fax Number : 562-407-2082
Provider Business Practice Location Address
First Line : 21530 PIONEER BLVD
Second Line :
City : HAWAIIAN GARDENS
State : CA
Zip : 90716-2608
Country : US
Telephone Number : 562-407-2080
Fax Number : 562-407-2082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 02/06/2014

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Directions to “ YAMING SHI MD” Practice Location

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