Shin, Yoon Sup
Shin, Yoon Sup is an individual health care provider with primary practice located at 2017 W Olympic Blvd , Los Angeles CA 90006-3705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Shin, Yoon Sup can be contacted via phone (213) 480-1000.Contact Information
Primary practice address
2017 W Olympic Blvd
Los Angeles CA 90006-3705
Phone: (213) 480-1000
Fax: (213) 401-0018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A85523 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A85523 | California |
Profile Details
| NPI number | 1629071451 |
|---|---|
| LBN Legal business name | Shin, Yoon Sup |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629071451 | NPPES |
| California | Other | A85523 | LICENSE |
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