Individual
JIEUN SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9896 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1643
(714) 636-3032
(714) 636-3116
Mailing address
9896 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1643
(714) 636-3032
(714) 636-3032
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95008532
CA
Other
Enumeration date
03/07/2018
Last updated
05/25/2022
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