Individual
DR. ANDREA SUNAE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 UCLA MEDICAL PLAZA STE 205, LOS ANGELES, CA 90095-3009
(310) 208-5400
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C188193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201177530
—
IN
01
—
P01550970
RRMC
IN
Enumeration date
06/20/2008
Last updated
08/31/2023
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