Individual provider · Type 1 NPI
Sam Shiesha, MD, FAAFP
Adult Medicine Physician · Tehachapi, CA
NPI number
1316046253
Active
Practice location
25101 Bear Valley Rd, Pmb 347
Tehachapi, CA 93561-8311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | A46051 (CA) |
| Adult Medicine Physician Primary | 207QA0505X | A46051 (CA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1316046253
Sam Shiesha, MD, FAAFP's National Provider Identifier is 1316046253, issued on Sep 21, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Tehachapi, CA. The record was last updated on Oct 20, 2011.