Zhiyin Shan | Tustin, CA • PECOS Search

Zhiyin Shan

Acupuncturist

Other Service Providers

2492 Walnut Ave, Suite 260, Tustin, CA 92780-6953

PECOS Enrollment

Based on the most recent information from CMS, provider Zhiyin Shan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1437567948
Provider Type
Individual
Full Name
Shan, Zhiyin
Gender
Female

Sole Proprietor
Yes
Enumeration Date
7/28/2014
Last Updated
7/28/2014

Contact Information

Practice Location

2492 Walnut Ave, Suite 260, Tustin, CA 92780-6953

Unlisted Fax

Mailing Location

2492 Walnut Ave, Suite 260, Tustin, CA 92780-6953

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License AC 15541 California