Shiu, Mark L

Shiu, Mark L is an sole proprietor health care provider with primary practice located at 7974 Haven Ave Suite 250, Rancho Cucamonga CA 91730-3052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shiu, Mark L can be contacted via phone (800) 734-1733.

Contact Information

Primary practice address
7974 Haven Ave Suite 250 Rancho Cucamonga CA 91730-3052
Phone: (800) 734-1733
Fax: (800) 734-1733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A9372 California

Profile Details

NPI number 1629004478
LBN Legal business name Shiu, Mark L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Jul 25th, 2012 - about 12 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 1629004478 NPPES
California MEDICAID 00AX93720

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