FV PHYSICAL MEDICINE
NPI 1811278260
Anesthesiology - Pain Medicine in Fountain Valley, CA

Active since August 30, 2011
10990 WARNER AVE STE E, FOUNTAIN VALLEY, CA 92708(714) 965-0306(714) 965-5148 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Anesthesiology
  • Pain Medicine

About FV PHYSICAL MEDICINE

This page provides the complete NPI Profile along with additional information for Fv Physical Medicine, a provider established in Fountain Valley, California operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1811278260 assigned on August 2011. The practitioner's primary taxonomy code is 207LP2900X with license number G075155 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Daniel Shin Md, A Medical Profession Corporation. The authorized official of this NPI record is Dr. Stephen Dundas (Shareholder)

NPI
1811278260 Verify this NPI
Provider Legal Name
FV PHYSICAL MEDICINE
Other Organization Name
DANIEL SHIN MD, A MEDICAL PROFESSION CORPORATION
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
10990 WARNER AVE STE E FOUNTAIN VALLEY, CA 92708
Location Phone
(714) 965-0306
Location Fax
(714) 965-5148
Mailing Address
10990 WARNER AVENUE SUITE E FOUNTAIN VALLEY, CA 92708
Mailing Phone
(714) 965-5146
Mailing Fax
(714) 965-5148
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2011
Last Update Date
08-30-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
License No.
G075155
License State
CA
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. STEPHEN DUNDAS

Authorized Official Title
SHAREHOLDER
Authorized Official Phone
(714) 965-5146

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811278260, enumerated as an "organization" on August 30, 2011.

The provider is located at 10990 WARNER AVE STE E FOUNTAIN VALLEY, CA 92708 and the phone number is (714) 965-0306.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.