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Organization

MIN SOO SHIN MD, APC

Active
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Organization

MIN SOO SHIN MD, APC

Active
Other names
Santa Catalina Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MIN SOO SHIN M.D (PHYSICIAN)
(323) 583-1500
Entity
Organization

Contact information

Practice address
2968 E FLORENCE AVE, HUNTINGTON PARK, CA 90255
(323) 583-1500
(323) 583-1661
Mailing address
2968 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5826
(323) 583-1500
(323) 583-1661

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A40822
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A408220
CA
Enumeration date
06/28/2011
Last updated
07/18/2011
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