NPIMap

Organization Active NPI

Advanced Specialty Anesthesia & Pain Management, a Medical Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Los Angeles, CA
National Provider Identifier
1497076780
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G75155 Issued in CA
Legal business name
ADVANCED SPECIALTY ANESTHESIA & PAIN MANAGEMENT, A MEDICAL CORPORATION
Practice address
219 W 7TH St
207
Los Angeles, CA 90014-1950
Phone
(310) 310-5817
Fax
(310) 496-0183
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Dr. Daniel Shin, MD
Title
President
Phone
(310) 310-5817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X G75155 CA Primary

Addresses

Primary practice location

219 W 7TH St
207
Los Angeles, CA 90014-1950

Mailing address

219 W 7TH St
207
Los Angeles, CA 90014-1950
Phone (310) 310-5817

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1497076780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W 7TH ST",
            "address_2": "207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900141950",
            "telephone_number": "310-310-5817",
            "fax_number": "310-496-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W 7TH ST",
            "address_2": "207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900141950",
            "telephone_number": "310-310-5817",
            "fax_number": "310-496-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPECIALTY ANESTHESIA & PAIN MANAGEMENT, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-310-5817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G75155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.