Shiau, Jonathan Mou Jun

Shiau, Jonathan Mou Jun is an individual health care provider with primary practice located at 19066 Magnolia St , Huntington Beach CA 92646-2232. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Shiau, Jonathan Mou Jun can be contacted via phone (714) 968-0068.

Contact Information

Primary practice address
19066 Magnolia St Huntington Beach CA 92646-2232
Phone: (714) 968-0068
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X 143632 California

Profile Details

NPI number 1134407166
LBN Legal business name Shiau, Jonathan Mou Jun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2011
Last updated Jul 7th, 2016 - about 10 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 1134407166 NPPES
Wisconsin MEDICAID 1134407166

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