Search › California › 207QA0505X
Sam Shiesha, MD, FAAFP
NPI 1316046253 · on the registry since 2006 · sole proprietor
Practice
- Address
- 25101 Bear Valley Rd
Pmb 347
Tehachapi, CA 93561 - Phone
- (661) 335-2891
Registry record
- Primary taxonomy
- 207QA0505X
207QA0505X
- Also registered as
- 207QA0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California