Individual
JOHN JAEYOUNG SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W CARSON ST., BOX 29, HARBOR-UCLA DEPT OF RADIOLOGY, TORRANCE, CA 90509
(310) 222-2842
Mailing address
1000 W CARSON ST., BOX 29, HARBOR-UCLA DEPT OF RADIOLOGY, TORRANCE, CA 90509
(310) 222-2842
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
A91338
CA
2085R0202X
Diagnostic Radiology Physician
A91338
CA
Other
Enumeration date
07/12/2007
Last updated
02/28/2013
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