Crystal Shin, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

291518 Issued in CA

Practice address

3785 Wilshire Blvd Apt 1804
Los Angeles, CA 90010-2893

Phone

(323) 369-7772

NPI assigned

Oct 16, 2020

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": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1649878166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 WILSHIRE BLVD APT 1804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102893",
            "telephone_number": "323-369-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 WILSHIRE BLVD APT 1804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102893",
            "telephone_number": "323-369-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "CRYSTAL",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "291518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Seungchul Shin, MD
• Berthold Shin, DO
• Bo Kyong Shin, DPM
• Bonja Shin, LAC
• Cathy Eun-Young Shin, MD
• Daniel Shin, MD
• Daniel Hyun Shin, M.D.
• Daniel Sanghoon Shin, M.D.
• David Sunwoong Shin, M.D.
• Desiree Shin, MSN, AGACNP-BC

• Licensed Vocational Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.