Individual
BERTHOLD SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
801 S GRAND AVE, LOS ANGELES, CA 90017-4613
(714) 336-7446
Mailing address
801 S GRAND AVE, LOS ANGELES, CA 90017-4674
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
291509
NY
390200000X
Student in an Organized Health Care Education/Training Program
259895
MA
Other
Enumeration date
06/16/2014
Last updated
12/28/2020
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