Daniel Shin, MD, a Professional Corp

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

DANIEL SHIN, MD, A PROFESSIONAL CORP

Practice address

10956 Warner Ave
Fountain Valley, CA 92708-3853

Phone

(714) 595-4061

NPI assigned

Dec 16, 2011

Organization subpart

Yes

Parent organization

DANIEL SHIN, MD, A PROFESSIONAL CORPAs reported in NPPES

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

Authorized official

Name

Dr. Daniel Shin, M.D.

Title

Medical Director

Phone

(714) 595-4061

Specialties & licenses 1

Addresses

Part of

Daniel Shin MD a Professional Corp

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1992074140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 WARNER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083853",
            "telephone_number": "714-595-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL SHIN, MD, A PROFESSIONAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIEL SHIN, MD, A PROFESSIONAL CORP",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-595-4061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sandeep Singh Dang, M.D.
• Satinder K Dang, M.D.
• Daniel Recalde DPM, Inc
• Daniel T Stein, M.D. a Medical Corporation
• Sheila Marcondes Daniels, OTR/L
• Tanya Dansky, M.D.
• Christopher Dao
• Khanh P Dao, PA-C

• Non-Pharmacy Dispensing Site in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Non-Pharmacy Dispensing Site in California

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