Organization Active NPI

Victoria Shin MD Inc

  • Cardiovascular Disease Physician
  • Torrance, CA
National Provider Identifier
1659550911
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A75292 Issued in CA
Legal business name
VICTORIA SHIN MD INC
Practice address
3475 Torrance Blvd
Ste a
Torrance, CA 90503-5800
Phone
(310) 370-3568
Fax
(310) 316-9188
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Victoria Y Shin, MD
Title
President
Phone
(310) 990-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A75292 CA Primary

Addresses

Primary practice location

3475 Torrance Blvd
Ste a
Torrance, CA 90503-5800

Mailing address

3475 Torrance Blvd
Ste a
Torrance, CA 90503-5800
Phone (310) 370-3568

Other identifiers 1

IdentifierTypeStateIssuer
A75292OtherCAMEDICAL LISCENSE

National Provider Directory

National Provider Directory

Locations

3300 Lomita Blvd
Torrance, CA 90505
Phone (310) 370-3568

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1659550911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 TORRANCE BLVD",
            "address_2": "STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035800",
            "telephone_number": "310-370-3568",
            "fax_number": "310-316-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 TORRANCE BLVD",
            "address_2": "STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035800",
            "telephone_number": "310-370-3568",
            "fax_number": "310-316-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA SHIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-990-1131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A75292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISCENSE",
            "identifier": "A75292",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.