Provider Demographics
NPI:1104073071
Name:SHU, STEVEN TING-BIN (PHD, OMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:TING-BIN
Last Name:SHU
Suffix:
Gender:M
Credentials:PHD, OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 E. FRUIT ST.
Mailing Address - Street 2:SUITE 112
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4459
Mailing Address - Country:US
Mailing Address - Phone:714-973-1778
Mailing Address - Fax:714-973-8567
Practice Address - Street 1:2220 E. FRUIT ST.
Practice Address - Street 2:SUITE 112
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4459
Practice Address - Country:US
Practice Address - Phone:714-973-1778
Practice Address - Fax:714-973-8567
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALAC3928171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist