Shin'S Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

W22468 Issued in CA

Legal business name

SHIN'S MEDICAL GROUP INC

Practice address

3030 W Olympic Blvd
220
Los Angeles, CA 90006-6501

Phone

(213) 738-7788

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Dong W Shin

Title

President

Phone

(213) 738-7788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Jinhong Yang, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1467816744
  Medicare reassignment NPD

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1427224799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 W OLYMPIC BLVD",
            "address_2": "220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066501",
            "telephone_number": "213-738-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W OLYMPIC BLVD",
            "address_2": "220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066501",
            "telephone_number": "213-738-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIN'S MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-738-7788"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "W22468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoon Shin, DPT
• Yoon Sup Shin, M.D.
• You NA Shin
• Youn Jung Shin, L.AC.
• Yu Chun Shin, DDS
• Yael Elanit Shina
• Shuntaro Shinada, M.D.
• Austin Shinagawa
• Jerold S Shinbane, M.D.
• Shilpa Shinde-Garg, MD

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.