Individual
DESIREE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 365B, LOS ANGELES, CA 90095-8344
(310) 825-8061
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 307-8707
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
95016669
CA
363L00000X
Nurse Practitioner
Primary
95016669
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95016669
CA
Other
Enumeration date
06/28/2023
Last updated
04/06/2026
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