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Michael Nian Peng Shi, L.ac., Ph.d.
Medical Specialty Clinic/Center in Berkeley, California
NPI 1336442078

Michael Nian Peng Shi, L.ac., Ph.d. is a Medical Specialty Clinic/Center based in Berkeley, CA and is specialized in Medical Specialty. Michael Nian Peng Shi, L.ac., Ph.d. practices in Berkeley, CA. The NPI Number for Michael Nian Peng Shi, L.ac., Ph.d. is 1336442078 and holds a License No. AC4182 (California).

The current practice location address for Michael Nian Peng Shi, L.ac., Ph.d. is 1919 Addison St, Berkeley, CA and can be reached out via phone at 510-704-8888 and via fax at 510-704-1875.

Location: 1919 Addison St, Berkeley, CA, 94704-1141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336442078
Provider Name
Michael Nian Peng Shi, L.ac., Ph.d.
Credential
Provider Entity Type
Organization
Address
1919 Addison St, Berkeley, CA, 94704-1141
Phone Number
510-704-8888
Fax Number
510-704-1875
Provider Enumeration Date
12/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1919 Addison St
City
Berkeley
State
California
Zip
94704-1141
Phone Number
510-704-8888
Fax Number
510-704-1875
person
Provider Business Mailing Address Details
Address
1919 Addison St
City
Berkeley
State
California
Zip
94704-1141
Phone Number
510-704-8888
Fax Number
510-704-1875
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
AC4182 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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