Individual
CHANG SUNG SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 325-0200
Mailing address
14320 VENTURA BLVD STE 217, SHERMAN OAKS, CA 91423-2717
(626) 422-0201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19680
CA
Other
Enumeration date
03/23/2019
Last updated
06/23/2022
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