YOUNG SHIN (NPI# 1114460565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4956 Revlon Dr, La Canada, CA 910113630 | 8189525097 | 8885806761 |
| 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 |
| Street Address |
2101 ROSECRANS AVE # 3230 |
| City | EL SEGUNDO |
| State | CA |
| Zip Code | 90245-4749 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 90245 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | EL SEGUNDO |
| Zip Code | 90245 |
Please comment or provide details below to improve the information on YOUNG SHIN.
| 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.