Individual
STEPHANIE SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 SANTA FE DR STE 107-C, ENCINITAS, CA 92024-5138
(760) 230-8994
Mailing address
5965 VILLAGE WAY, SUITE E105, UNIT 244, SAN DIEGO, CA 92130
(619) 786-4128
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
130231
CA
207RP1001X
Pulmonary Disease Physician
Primary
130231
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2011
Last updated
04/29/2020
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