Hyonah Shin, MD | |
5974 Pentz Rd, Paradise, CA 95969-5509 | |
(530) 877-9361 | |
Not Available |
Full Name | Hyonah Shin |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 5974 Pentz Rd, Paradise, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902810559 | NPI | - | NPPES |
00A99790 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 231746 (New York) | Secondary |
207P00000X | Emergency Medicine | A99779 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Entity Name | Amador Emergency Physicians Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417040619 PECOS PAC ID: 2567495716 Enrollment ID: O20050916000969 |
Entity Name | Vallejo Emergency Physicians Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083916373 PECOS PAC ID: 2961683693 Enrollment ID: O20110228000897 |
Mailing Address | Practice Location Address |
---|---|
Hyonah Shin, MD 2100 Powell St, Suite 920, Emeryville, CA 94608-1826 Ph: (510) 350-2673 | Hyonah Shin, MD 5974 Pentz Rd, Paradise, CA 95969-5509 Ph: (530) 877-9361 |
David E Damazo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5875 Clark Rd, Paradise, CA 95969 Phone: 530-877-5433 | |
Dr. Michael Evan Lockwood, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5974 Pentz Rd, Paradise, CA 95969 Phone: 530-877-9361 | |
Mrs. Christina Maria Elanie Umber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5974 Pentz Rd, Paradise, CA 95969 Phone: 530-877-9361 | |
Gregory M. Taylor, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5974 Pentz Rd, Emergency Department, Paradise, CA 95969 Phone: 530-877-9361 |