Soo C Shin

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOO C SHIN

Doing business as

Olympic Medical Supply

Practice address

3003 W Olympic Blvd
205
Los Angeles, CA 90006-6511

Phone

(213) 389-5231

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Soo C Shin

Title

Owner

Phone

(213) 389-5231

Specialties & licenses 1

Addresses

Other names 1

• OLYMPIC MEDICAL SUPPLY Doing business as

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1629182985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W OLYMPIC BLVD",
            "address_2": "205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W OLYMPIC BLVD",
            "address_2": "205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066511",
            "telephone_number": "213-389-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOO C SHIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "SOO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-389-5231"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLYMPIC MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie A Sonsteng-Person, MSW
• Sonu S Ahluwalia MD Inc
• Sonus-USA, Inc.
• Sonus-USA, Inc.
• Julie Beth Sonye, LMFT
• Guy W Soo Hoo, MD
• Carly Renee Soo, MD
• Chia Soo, MD
• Tina Yu-Ting Soo, N.P
• Radhika Sood, D.O.

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.