Shi, Andrew Beihong

Shi, Andrew Beihong is an individual health care provider with primary practice located at 22421 El Toro Rd Suite E, Lake Forest CA 92630-5049. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shi, Andrew Beihong can be contacted via phone (949) 770-4707.

Contact Information

Primary practice address
22421 El Toro Rd Suite E Lake Forest CA 92630-5049
Phone: (949) 770-4707
Fax: (949) 770-4708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 55838 California

Profile Details

NPI number 1902006836
LBN Legal business name Shi, Andrew Beihong
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Jun 3rd, 2013 - about 11 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 1902006836 NPPES
California MEDICAID D55838

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