Young SE Shin, L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC0001690 Issued in CA

Practice address

9828 Garden Grove Blvd
Ste 106
Garden Grove, CA 92844-1639

Phone

(714) 530-3550

Fax

(714) 530-3556

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Acusana Acupuncture Inc

  dba Acusana Acupuncture

  • Acupuncturist
  • Garden Grove, CA
  • NPI 1194567040
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316979677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 GARDEN GROVE BLVD",
            "address_2": "STE 106",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441639",
            "telephone_number": "714-530-3550",
            "fax_number": "714-530-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 GARDEN GROVE BLVD",
            "address_2": "STE 106",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441639",
            "telephone_number": "714-530-3550",
            "fax_number": "714-530-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "YOUNG",
        "middle_name": "SE",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC0001690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Sanghyun Shin, DISPENSER
• Kevin Y Shin, DC
• Marie Wonkyong Shin, DPM
• Sang Yun Shin, L.AC.
• Young Kyu Shin, DC
• Sora Shiraki
• Shawn Shiroyama
• Shivawn Inc. (Nurse Next Door)
• Dua Shoaib
• James S Shon, DDS

• Acupuncturist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.