Eun I. Shin, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A31059 Issued in CA

Practice address

3663 W 6TH St Ste 101
Los Angeles, CA 90020-3047

Phone

(213) 388-5144

Fax

(213) 388-5154

NPI assigned

Jan 17, 2007

Last updated

Nov 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Family Practice

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jonah Medical Group IncGroup PAC ID 5092992644, 3 clinicians

Bethel Medical Group IncGroup PAC ID 2163645300, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: eun.shin.1@20647.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IBFCCD
• FHIR API: https://fhir4.healow.com/fhir/r4/IBFCCD/Endpoint/IBFCCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bethel Medical Group, Inc.

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1518388917
  Medicare reassignment Care Compare group NPD
• Jonah Medical Group, Inc.

  dba Nanoon Medical Group

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1942591847
  Medicare reassignment Care Compare group NPD
• Wilshire Joeun Medical Group, Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1184661316
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Johns Hopkins Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1578597993
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1073665436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 S. WESTMORELAND AVENUE",
            "address_2": "STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90005",
            "telephone_number": "800-821-5675",
            "fax_number": "213-289-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203047",
            "telephone_number": "213-388-5144",
            "fax_number": "213-388-5154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20627 Golden Springs Dr Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917894815",
            "country_code": "US",
            "telephone_number": "909-480-0200",
            "fax_number": "909-480-0201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15095 Amargosa Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923941875",
            "country_code": "US",
            "telephone_number": "760-552-4470",
            "fax_number": "760-552-4472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "866 S Westmoreland Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900052372",
            "country_code": "US",
            "telephone_number": "213-380-2266",
            "fax_number": "213-315-5195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "EUN",
        "middle_name": "I.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A31059",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A31059",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A31059",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A31059",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Choong Hee Shin, LCSW
• Emily Shin
• Estela Shin
• Esther Shin
• Esther Shin
• Eunshik Shin, D.C
• Gina Shin, DPT
• Han Shin, RN,MN
• Hannah Shin
• Hannah Haesoo Shin, NP

• Obstetrics & Gynecology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.