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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295892362 | NPPES |
| California | Other | CA0029480 | BLUE SHIELD OF CALIFORNIA |
| California | Other | 5761398 | BLUE SHIELD OF CALIFORNIA |
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