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Individual

RICHARD C SHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3101
(714) 826-6400
Mailing address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3101
(714) 826-6400

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A79944
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A799440
BS
CA
05
00A799440
CA
01
P00328736
RR MEDICARE
CA
Enumeration date
11/19/2005
Last updated
10/23/2007
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