JOHN JAEYOUNG SHIM M.D. NPI 1235338112

NPI Information

NPI: 1235338112
Provider Name: JOHN JAEYOUNG SHIM, M.D.
Classification: Radiology - 2085N0904X
Entity Type: Individual

Specialization: Nuclear Radiology

PECOS Registration: Yes

Address:
1000 W CARSON ST., BOX 29
HARBOR-UCLA DEPT OF RADIOLOGY
TORRANCE, CA
ZIP 90509
Phone: (310) 222-2842
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John Jaeyoung Shim, M.D. is a nuclear radiology radiology in Torrance, CA. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. John Jaeyoung Shim, M.D. NPI is 1235338112. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 W CARSON ST., BOX 29
HARBOR-UCLA DEPT OF RADIOLOGY
TORRANCE, CA
ZIP 90509
Phone: (310) 222-2842

The NPI 1235338112 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 2/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	A91338	CALIFORNIA	No
2	2085N0904X	Radiology	Nuclear Radiology	A91338	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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