CATHY EUN-YOUNG SHIN MD NPI 1265528194

NPI Information

NPI: 1265528194
Provider Name: CATHY EUN-YOUNG SHIN, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
4650 W SUNSET BLVD
MS# 100
LOS ANGELES, CA
ZIP 90027
Phone: (323) 361-2322
Get Directions

Cathy Eun-young Shin, MD is a pediatric surgery surgery in Los Angeles, CA with 35 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Cathy Eun-young Shin, MD NPI is 1265528194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

4650 W SUNSET BLVD
MS# 100
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 361-2322
Fax: (323) 361-4775

The NPI 1265528194 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 10/5/2006 and was last updated on 8/8/2011.

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	2086S0120X	Surgery	Pediatric Surgery	A75668	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	WA75668A	MEDICARE PIN	CALIFORNIA
2	00A756680	MEDICAID	CALIFORNIA
3	I19864	MEDICARE UPIN	CALIFORNIA

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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