# SOO C SHIN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** OLYMPIC MEDICAL SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629182985
- **Authorized official:** SOO C SHIN (OWNER)
- **Authorized official phone:** (213) 389-5231

## Contact information

- **Practice address:** 3003 W OLYMPIC BLVD, 205, LOS ANGELES, CA 90006-6511
- **Practice address phone:** (213) 389-5231
- **Mailing address:** 3003 W OLYMPIC BLVD, 205, LOS ANGELES, CA 90006-6511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 07/22/2008