DR. KELLY H SHIN (NPI# 1447544564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447544564 |
| Entity Type | Individual |
| Full Name | DR. KELLY H SHIN |
| Credential | PHARM.D. |
| Practice Address |
7100 Santa Monica Blvd Suite 201 West Hollywood CA 90046-5896 |
| Practice Telephone | 3236030005 |
| Mailing Telephone | 3236030005 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 48871 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386918456 | Kelly Ka-young Shin | Registered Nurse | 16720 S Dalton Ave, Apt 1, Gardena, CA 90247-5423 | 2012-03-06 |
| 1942618061 | Kelly Shin | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02215-5418 | 2014-08-01 |
| Street Address |
7100 SANTA MONICA BLVD SUITE 201 |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90046-5896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104224724 | Jill Kolin | Pharmacist | 7100 Santa Monica Blvd, West Hollywood, CA 90046-5896 | 2014-12-13 |
| 1285903385 | Dipali Patel | Pharmacist | 7100 Santa Monica Blvd, West Hollywood, CA 90046-5896 | 2011-12-19 |
| 1982990172 | Paris Salar | Pharmacist | 7100 Santa Monica Blvd, Target Pharmacy Store Number T-1884, West Hollywood, CA 90046-5896 | 2011-06-26 |
| 1215221171 | Nahal Dianat | Pharmacist | 7100 Santa Monica Blvd, T-1884, West Hollywood, CA 90046-5896 | 2011-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325084 | Rimma R Golub | Nurse Practitioner | 948 N. Fairfax Ave, Suite 201, West Hollywood, CA 90046 | 2020-10-29 |
| 1053923607 | Jm Medical Solutions, LLC | Point of Service | 7741 Hollywood Blvd, Los Angeles, CA 90046 | 2020-08-17 |
| 1720592744 | Brian A Torres | Marriage & Family Therapist | 805 North Alta Vista Blvd, Unit 6, Los Angeles, CA 90046 | 2017-11-29 |
| 1770008005 | James N. Orr | Acupuncturist | 1351 N. Crescent Heights Blvd., Suite 116, West Hollywood, CA 90046 | 2017-08-08 |
| 1255701975 | Cameron Lee | Counselor | 8345 Ridpath Drive, Los Angeles, CA 90046 | 2015-10-07 |
| 1720465420 | The Doctor | Internal Medicine | 7531 Santa Monica Blvd Suite 101, West Hollywood, CA 90046 | 2015-05-01 |
| 1497152995 | Lisa Maznio | Counselor | 1400 N Martel Ave Apt 202, Los Angeles, CA 90046 | 2014-11-26 |
| 1013356690 | Pamela Rose Scott | Acupuncturist | 1321 N. Fairfax Ave., #3, West Hollywood, CA 90046 | 2013-06-18 |
| 1720360050 | Paul S. Raine | Marriage & Family Therapist | 8235 Santa Monica Blvd., Suite 400, West Hollywood, CA 90046 | 2011-09-13 |
| 1780995233 | Anna Samsanovich | Registered Nurse | 1701 Camino Palmero, Los Angeles, CA 90046 | 2010-06-30 |
| Find all providers in zip 90046 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689205023 | Stella Rose Bakmajian | Pharmacist | 7007 Romaine St Fl 4, West Hollywood, CA 90038-2328 | 2020-02-03 |
| 1326502113 | Mackenzie Ritchie | Pharmacist | 8700 Beverly Blvd Rm 8903, West Hollywood, CA 90048-1804 | 2019-01-25 |
| 1710493549 | Afreh Khazaee | Pharmacist | 7360 Santa Monica Blvd # 101, West Hollywood, CA 90046-6619 | 2017-12-15 |
| 1598137507 | Nhat Tan Nguyen Thai | Pharmacist | 1252 N Formosa Ave, Apt 2, West Hollywood, CA 90046-5800 | 2015-10-29 |
| 1396170759 | Keri Kathleen Hurley | Pharmacist | 8500 Melrose Ave Ste 109, West Hollywood, CA 90069-5168 | 2013-09-04 |
| 1942567425 | Mark Aaron Goff | Pharmacist | 7545 Hampton Ave Apt 109, West Hollywood, CA 90046-5597 | 2012-04-20 |
| 1013220300 | Richard Ludwig Pilsl | Pharmacist | 834 Huntley Dr, West Hollywood, CA 90069-5026 | 2010-07-15 |
| 1396065918 | Donald Mixer Mcguire | Pharmacist | 1132 N La Brea Ave, West Hollywood, CA 90038-1022 | 2010-06-04 |
| 1811509391 | Jun Ho Ma | Pharmacist | 7100 Santa Monica Blvd Ste 201, West Hollywood, CA 90046-5896 | 2020-08-17 |
| 1841818945 | Jocelyn Chaing | Pharmacist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-07-06 |
| Find all providers in WEST HOLLYWOOD | ||||
| City | WEST HOLLYWOOD |
| Zip Code | 90046 |
Please comment or provide details below to improve the information on DR. KELLY H 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.