Provider Demographics
NPI:1487807640
Name:SHI, RUI (L AC)
Entity type:Individual
Prefix:MS
First Name:RUI
Middle Name:
Last Name:SHI
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
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Mailing Address - Street 1:1814 PEPPER ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3156
Mailing Address - Country:US
Mailing Address - Phone:626-872-0399
Mailing Address - Fax:626-872-0399
Practice Address - Street 1:4515 CASTLE RD
Practice Address - Street 2:# B
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011-1437
Practice Address - Country:US
Practice Address - Phone:818-957-1207
Practice Address - Fax:818-249-1573
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAAC 12157171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist