Individual
DR. BO KYONG SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4618 FOUNTAIN AVE, LOS ANGELES, CA 90029-1830
(323) 953-7170
(323) 663-2379
Mailing address
404 SHATTO PL # 351A, LOS ANGELES, CA 90020-1723
(404) 825-8099
(888) 866-7055
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
006460
NY
213E00000X
Podiatrist
Primary
25MD00308100
NJ
Other
Enumeration date
02/17/2011
Last updated
09/28/2023
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