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1578067062
MIA XIN SHAN
LOS ANGELES, CA
NPI
1578067062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA A163839)
Enumeration Date
2018-03-20
Last Update Date
2022-08-11
Business Address
MIA XIN SHAN
2080 CENTURY PARK E
LOS ANGELES, CA 90067-2001
Phone number: 424-363-1000
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Mailing Address
MIA XIN SHAN
293 N STATE COLLEGE BLVD APT 2017
ORANGE, CA 92868-5710
Phone number: 240-778-5141
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