Shao, Susan

Shao, Susan is an sole proprietor health care provider with primary practice located at 9092 Talbert Ave Suite 10, Fountain Valley CA 92708-4452. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Shao, Susan can be contacted via phone (714) 968-3325.

Contact Information

Primary practice address
9092 Talbert Ave Suite 10 Fountain Valley CA 92708-4452
Phone: (714) 968-3325
Fax: (714) 968-6656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC2948 California

Profile Details

NPI number 1295892362
LBN Legal business name Shao, Susan
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2007
Last updated Dec 1st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295892362 NPPES
California Other CA0029480 BLUE SHIELD OF CALIFORNIA
California Other 5761398 BLUE SHIELD OF CALIFORNIA

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