Individual
IRENE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21515 HAWTHORNE BLVD STE G100, TORRANCE, CA 90503-6501
(424) 571-2618
(424) 571-2339
Mailing address
6160 CORNERSTONE CT E STE 100, SAN DIEGO, CA 92121-3724
(858) 216-8837
(619) 941-0276
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
24407
CA
Other
Enumeration date
03/22/2019
Last updated
06/07/2023
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