Individual
HEESEOP SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 SAN PABLO ST FL 2, LOS ANGELES, CA 90033-5313
(323) 442-8541
(323) 442-8755
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-8541
(323) 442-8755
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036151376
IL
2085R0202X
Diagnostic Radiology Physician
Primary
A148948
CA
2085R0202X
Diagnostic Radiology Physician
ME162827
FL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/20/2011
Last updated
02/26/2026
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