Organization
DANIEL SHIN, MD, A PROFESSIONAL CORP
Active
Parent organization
DANIEL SHIN, MD, A PROFESSIONAL CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
DANIEL SHIN, MD, A PROFESSIONAL CORP
Authorized official
DR. DANIEL SHIN M.D. (MEDICAL DIRECTOR)
(714) 595-4061
Entity
Organization
Contact information
Practice address
10956 WARNER AVE, FOUNTAIN VALLEY, CA 92708-3853
(714) 595-4061
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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