Individual
PAUL J SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 315-6125
(310) 582-7163
Mailing address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 315-6125
(310) 582-7163
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A191229
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
10/02/2023
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