NPIMap

Organization Active NPI

Sun J Shin MD Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1730486333
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A37352 Issued in CA
Legal business name
SUN J SHIN MD INC
Practice address
866 S Westmoreland Ave Ste 101
Los Angeles, CA 90005-1502
Phone
(213) 380-2266
Fax
(213) 380-3514
NPI assigned
Feb 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Dr. Sun J Shin, MD
Title
President
Phone
(213) 380-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A37352 CA Primary

Addresses

Primary practice location

866 S Westmoreland Ave Ste 101
Los Angeles, CA 90005-1502

Mailing address

866 S Westmoreland Ave Ste 101
Los Angeles, CA 90005-1502
Phone (213) 380-2266

National Provider Directory

National Provider Directory

Locations

866 S Westmoreland Ave
Los Angeles, CA 90005
Phone (213) 380-2266

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1730486333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 S WESTMORELAND AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051502",
            "telephone_number": "213-380-2266",
            "fax_number": "213-380-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 S WESTMORELAND AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051502",
            "telephone_number": "213-380-2266",
            "fax_number": "213-380-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN J SHIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-380-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A37352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.