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Individual

DONGSUN SHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3030 W OLYMPIC BLVD STE 206, LOS ANGELES, CA 90006-6506
(213) 322-2666
Mailing address
3030 W OLYMPIC BLVD STE 206, LOS ANGELES, CA 90006-6506
(213) 322-2666

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
APN.0993223-NP
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
NP95011462
CA

Other

Enumeration date
08/18/2017
Last updated
06/03/2024
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