| Shin's Medical Group Inc | |
|
3030 W Olympic Blvd 220 Los Angeles CA 90006-6501 | |
| (213) 738-7788 | |
| Not Available |
| Full Name | Shin's Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3030 W Olympic Blvd, Los Angeles, California |
| Authorized Official Name and Position | Dong W Shin (PRESIDENT) |
| Authorized Official Contact | 2137387788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shin's Medical Group Inc 3030 W Olympic Blvd 220 Los Angeles CA 90006-6501 Ph: (213) 738-7788 | Shin's Medical Group Inc 3030 W Olympic Blvd 220 Los Angeles CA 90006-6501 Ph: (213) 738-7788 |
| NPI Number | 1427224799 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 08/11/2008 |
| Medicare PECOS PAC ID | 0840361333 |
|---|---|
| Medicare Enrollment ID | O20080610000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427224799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | W22468 (California) | Primary |
| Provider Name | Dong W Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740387646 PECOS PAC ID: 2668543158 Enrollment ID: I20080610000846 |
| Provider Name | James J Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467816744 PECOS PAC ID: 0648502153 Enrollment ID: I20191104001067 |
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