YOUNG SHIN


Address: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749
Phone: 3236288671

YOUNG SHIN (NPI# 1114460565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114460565
Entity Type Individual
Full Name YOUNG SHIN
Credential N.P.
Practice Address 2101 Rosecrans Ave # 3230
El Segundo
CA 90245-4749
Mailing Address 1700 Westwood Blvd
Los Angeles
CA 90024-5608
Practice Telephone 3236288671
Mailing Telephone 8189525097
Mailing Fax Number 8885806761
Enumeration Date 2016-12-01
Last Update Date 2019-10-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
8481 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4956 Revlon Dr, La Canada, CA 910113630 8189525097 8885806761

Other Providers YOUNG SHIN

NPI Name Taxonomy Address Enumeration
1487791737 Young Kyu Shin Chiropractor 9192 Garden Grove Blvd, #a, Garden Grove, CA 92844 2007-01-30
1225199219 Young Cheol Shin Specialist 525 Beards Hill Rd, Aberdeen, MD 21001-1831 2006-12-13
1962057430 Young Shin Physical Therapist 17270 Bear Valley Rd Ste 105, Victorville, CA 92395-7751 2019-08-01
1336636729 Young S Shin Pharmacist 633 W Tietan St, Walla Walla, WA 99362-4329 2018-04-20
1497148498 Young Shin Pharmacist 1020 University Ave, San Diego, CA 92103-7325 2015-03-15
1104256015 Young Shin Dentist 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2013-11-14
1316979677 Young Se Shin Acupuncturist 9828 Garden Grove Blvd, Ste 106, Garden Grove, CA 92844-1639 2006-07-07
1376584516 Young H Shin Obstetrics & Gynecology 1991 Marcus Ave, New Hyde Park, NY 11042-2057 2006-06-09
1366410995 Young Shin Internal Medicine 2111 Claremont Ave, Ashland, OH 44805 2006-03-09
1447220884 Young J Shin Psychiatry & Neurology 230 North Rd, Poughkeepsie, NY 12601 2006-01-26

Office Location

Street Address 2101 ROSECRANS AVE # 3230
City EL SEGUNDO
State CA
Zip Code 90245-4749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225099591 Charles Christian Martineau Internal Medicine 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 2006-03-28
1730703695 Tina Morrison Nurse Practitioner 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 2020-06-05
1679122592 Yuan Zhao Nurse Practitioner 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 2019-09-04
1609435940 Diva Christy Lugatiman Palma Registered Nurse 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 2019-06-11
1720573439 Marilyn Tadiaman Pudol Nurse Practitioner 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 2018-06-25
1578052916 Katy Swartzbaugh Physician Assistant 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 2018-05-01
1780189670 Angie Songngan Nguyen Nurse Practitioner 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 2018-03-24
1366954620 Basanta Kc Nurse Practitioner 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 2017-10-26
1003332909 Kenn Rafanan Nurse Practitioner 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 2017-08-22
1710437728 Meredith Yocum Nurse Practitioner 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 2016-10-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366058976 Britt'nee Cornelius Massage Therapist 222 North PCh, Suite 2000, El Segundo, CA 90245 2020-09-18
1750913778 Laurie Ann Scoppetto Dietitian, Registered 482 N Aviation Blvd, El Segundo, CA 90245 2020-02-07
1972135283 A Dabrowska Dds, Inc Dentist 390 N. Pacific Coast Hwy #1050, El Segundo, CA 90245 2020-02-05
1578023057 Miles Bertumen Pharmacist 283 N Aviation Blvd, Building 210, El Segundo, CA 90245 2019-03-21
1831673201 Kriss L. Killam Marriage & Family Therapist 302 W. Grand Ave., Suite 9, El Segundo, CA 90245 2018-09-20
1811487911 Bright Light Recovery Substance Abuse Rehabilitation Facility 218 Concord St, Suite C, El Segundo, CA 90245 2018-05-14
1265950448 Sarah Yuriko Mizuki Physician Assistant 390 N PCh, Suite 1000, El Segundo, CA 90245 2017-09-07
1326586462 Jlp Interpreting Services Interpreter 963 Virginia St #5, El Segundo, CA 90245 2017-02-09
1619351707 El Segundo Dermatology, Inc. Specialist 713 N Douglas St., El Segundo, CA 90245 2015-07-17
1083956635 24hr Homecare, LLC Home Health 200 N. Pacific Coast Highway, Suite 300, El Segundo, CA 90245 2013-03-21
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770910192 Christine Young Kim Nurse Practitioner 2020 E Imperial Hwy # S25c310, El Segundo, CA 90245-3507 2013-09-30
1578968731 Jessica Rodriguez Nurse Practitioner 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 2014-10-30
1437167913 Barbara E Beckford Nurse Practitioner 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 2006-08-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699388504 Daniel Ngo Nurse Practitioner 1180 S Hilda St, Anaheim, CA 92806-5007 2020-08-28
1407464522 Laura Bradigan Nurse Practitioner 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 2020-07-15
1538787031 Kelly Olcott Nurse Practitioner 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 2020-07-10
1629695440 Kelley Ibarra Nurse Practitioner 1613 Celeste Dr, Modesto, CA 95355-5039 2020-06-26
1497379333 Gloria Jean Campbell Nurse Practitioner 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 2020-06-06
1851913115 Lilly Fong Nurse Practitioner 15821 Square Top Ln, Fontana, CA 92336-4586 2020-05-09
1548880750 Sharkeiya Terrell Nurse Practitioner 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 2020-04-17
1730714007 Julissa Leonides Caraballo Nurse Practitioner 4044 Promontory St, San Diego, CA 92109-5334 2020-03-07
1194355404 Bethany Leda Donowho Nurse Practitioner 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 2020-01-26
1518507078 Rachel Saake Collar Nurse Practitioner 5100, 1000 Executive Pkwy, Oroville, CA 95966 2020-01-13
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Competitor

Search similar providers

City EL SEGUNDO
Zip Code 90245

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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