| Jason H. Shin, Md, Inc., A Professional Medical Corporation | |
|
250 W Bonita Ave Suite 250 Pomona CA 91767-1863 | |
| (909) 593-2031 | |
| (909) 593-2032 |
| Full Name | Jason H. Shin, Md, Inc., A Professional Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 W Bonita Ave, Pomona, California |
| Authorized Official Name and Position | Jason H Shin (PRESIDENT) |
| Authorized Official Contact | 9095932031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason H. Shin, Md, Inc., A Professional Medical Corporation 250 W Bonita Ave Suite 250 Pomona CA 91767-1863 Ph: (909) 593-2031 | Jason H. Shin, Md, Inc., A Professional Medical Corporation 250 W Bonita Ave Suite 250 Pomona CA 91767-1863 Ph: (909) 593-2031 |
| NPI Number | 1275897878 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 03/20/2020 |
| Medicare PECOS PAC ID | 9234380486 |
|---|---|
| Medicare Enrollment ID | O20121115000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275897878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A46382 (California) | Primary |
| Provider Name | Jason H Shin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316926678 PECOS PAC ID: 7911963632 Enrollment ID: I20041204000217 |
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