Dong Kil Shin, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC4184 Issued in CA

Practice address

435 Arden Ave Ste 510
Glendale, CA 91203

Phone

(818) 240-6163

Fax

(818) 240-3735

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1700800950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 510",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031137",
            "telephone_number": "818-240-6163",
            "fax_number": "818-240-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 510",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "818-240-6163",
            "fax_number": "818-240-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "DONG",
        "middle_name": "KIL",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Scott Shibata, MD
• Payman Shilian, PHARM. D.
• Gina Shim, BCBA
• Shin Acupuncture and Herbs, Inc.
• Shin Acupuncture and Herbs, Inc.
• Jenny Jeongwon Shin, PHARMD
• Peter E Shin, M.D.
• Manohar Sambhaji Shinde, MD PHD
• Shine Hospice and Palliative Care
• Shine MMG Inc

• Acupuncturist in Glendale, CA
• Providers in Glendale, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.