# PETER B. SHIN, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PETER B. SHIN, M.D., INC.
- **Other names:** Shin Family Medicine & Laser Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902280399
- **Legal business name:** PETER B. SHIN, M.D., INC.
- **Authorized official:** PETER B SHIN M.D. (OWNER)
- **Authorized official phone:** (310) 326-2161

## Contact information

- **Practice address:** 23326 HAWTHORNE BLVD, SUITE 140, TORRANCE, CA 90505-3725
- **Practice address phone:** (310) 326-2161
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 943-4180
- **Mailing address fax:** (888) 431-8819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | A46271 | CA | Yes |

## Other

- **Enumeration date:** 07/15/2015
- **Last updated:** 10/05/2015