Ho Joon Shin

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

LAC12230 Issued in CA

Practice address

1385 S Diamond Bar Blvd
Diamond Bar, CA 91765-2208

Phone

(909) 861-1015

NPI assigned

May 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Woori Clinic Inc

  • Acupuncturist
  • Diamond Bar, CA
  • NPI 1013404920
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1700376597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22478 DENKER AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905014223",
            "telephone_number": "909-861-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 S DIAMOND BAR BLVD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652208",
            "telephone_number": "909-861-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "HO JOON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "LAC12230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "LAC12230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Shen, DO
• Kristen Joy Wong Shepherd, MS, CCC-SLP
• Lisa Sheu
• Kimberly Shih
• Amani Shilleh
• Sung Shin, D.C.
• Shinning Care Corporation
• Maureen T Short, DDS
• Kamran Siddiqui
• Charnetta Lavia Simmons-Abuel

• Acupuncturist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.