| Doctor Name: | DR. BRENDA AIKA SHOO |
| NPI Number: | 1992993455 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A95027 |
| Business Practice Address: | 110 Lynch Creek Way Suite A Petaluma, CA - 949542337 |
| Business Phone Number: | 4156131918 |
| Business Fax Number: | |
| Mailing Address: | Po Box 411707, SAN FRANCISCO |
| State: | CA |
| Postal Code: | 941411707 |
| Phone Number: | 4156131918 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2007 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A95027 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |