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
Fax: (213) 401-0018
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629071451 NPPES
California Other A85523 LICENSE

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