Individual
MIN SOO SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,APC
Contact information
Practice address
2968 E FLORENCE AVE, HUNTINGTON PARK, CA 90255
(323) 583-1500
(323) 583-1661
Mailing address
2968 E FLORENCE AVE, HUNTINGTON PARK, CA 90255
(323) 583-1500
(323) 583-1661
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A40822
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A408220
—
CA
01
—
27-4412313
TAX ID
CA
Enumeration date
07/17/2006
Last updated
01/04/2016
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