Individual provider · NPI-1

Dr. Aldric Jaeseung Shim, MD

Radiology, Diagnostic Radiology · Monterey Park, CA

NPI number1114146560
StatusActive
Last updated in NPPESMar 20, 2017

Details

NPI
1114146560
Entity type
Individual (NPI-1)
Name
Dr. Aldric Jaeseung Shim
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 24, 2007
Last updated
Mar 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyA77053CAYes

Practice location

1066 Ridgeside Dr
Monterey Park, CA 91754-3729

Phone 888-888-8888

Mailing address

1066 Ridgeside Dr
Monterey Park, CA 91754-3729

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