Tae M Shin, M.D. Inc.

LBN: Tae M Shin, M.D. Inc.
Tae M Shin, M.D. Inc. is an health care organization with primary practice located at 4220 W 3Rd St Suite #208, Los Angeles CA 90020-3450. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as the primary health care specialty. Tae M Shin, M.D. Inc. can be contacted via phone (213) 386-3554, or through Rivera, Rose Marie via phone (805) 577-8730.

Contact Information

Primary practice address
4220 W 3Rd St Suite #208 Los Angeles CA 90020-3450
Phone: (213) 386-3554
Fax: (805) 991-4065
Website:
Map and Directions
Authorized official contact:
Name: Rivera, Rose Marie
Phone: (805) 577-8730

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X G85170 California

Profile Details

NPI number 1922139757
LBN Legal business name Tae M Shin, M.D. Inc.
DBA Doing business as
Authorized official Rivera, Rose Marie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922139757 NPPES
California MEDICAID 00G851700

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