Individual
DR. DAVID SUNG SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15923 BEAR VALLEY RD, STE B100, HESPERIA, CA 92345-1762
(909) 980-5552
Mailing address
15923 BEAR VALLEY RD, STE B100, HESPERIA, CA 92345-1762
(909) 200-6479
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12779T
CA
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
12779T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0127790
—
CA
Enumeration date
02/13/2007
Last updated
09/24/2019
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