Soo Jin Shin

Primary specialty

PharmacistTaxonomy code 183500000X

License

48058 Issued in CA

Practice address

19353 Victory Blvd
Tarzana, CA 91335-6302

Phone

(818) 996-4742

Fax

(818) 996-0782

NPI assigned

Nov 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1255843827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 MONTROSE AVE APT 3",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201474",
            "telephone_number": "818-439-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19353 VICTORY BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913356302",
            "telephone_number": "818-996-4742",
            "fax_number": "818-996-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "SOO JIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "48058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Sherman
• Richard Merrill Sherman, PH.D.
• Omar Sherwani
• Merav Shikler Diamant, RDN
• Julienne Dizon Shin
• Foad Joseph Shirazian, O.D.
• Gabriella Abigal Shirazy
• Robert T Shmaeff, MPA
• Albert Shnaider, M.D.
• Shadi Shojue Rastegar, RADT

• Pharmacist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.