Provider Type Icon

DR. DONGSOO SHIN M.D NPI 1811068190


NPI Information

NPI: 1811068190
Provider Name: DR. DONGSOO SHIN, M.D
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
15651 IMPERIAL HWY
SUITE 205
LA MIRADA, CA
ZIP 90638
Phone: (562) 943-4747
Get Directions

DR. Dongsoo Shin, M.D is a family medicine in La Mirada, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Dongsoo Shin, M.D NPI is 1811068190. 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:

15651 IMPERIAL HWY
SUITE 205
LA MIRADA, CA
ZIP 90638-628
Phone: (562) 943-4747
Fax: (888) 552-6469

The enumeration date for this NPI number is 11/10/2006 and was last updated on 5/30/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA37182CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A371820MEDICAIDCALIFORNIA
2A37182AMEDICARE PINCALIFORNIA
3E98985MEDICARE UPINCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.