Individual
JEREMY MICHAEL SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ STE 1517, LOS ANGELES, CA 90095-2420
(310) 794-0599
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
177438
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
04/05/2018
Last updated
07/11/2022
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