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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1902006836 | NPPES |
| California | MEDICAID | D55838 |
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