# ADVANCED SPECIALTY ANESTHESIA & PAIN MANAGEMENT, A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497076780
- **Authorized official:** DR. DANIEL SHIN MD (PRESIDENT)
- **Authorized official phone:** (310) 310-5817

## Contact information

- **Practice address:** 219 W 7TH ST, 207, LOS ANGELES, CA 90014-1950
- **Practice address phone:** (310) 310-5817
- **Practice address fax:** (310) 496-0183
- **Mailing address:** 219 W 7TH ST, 207, LOS ANGELES, CA 90014-1950
- **Mailing address phone:** (310) 310-5817
- **Mailing address fax:** (310) 496-0183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G75155 | CA | Yes |

## Other

- **Enumeration date:** 06/21/2010
- **Last updated:** 08/07/2012