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DONGSUN SHIN NP
NPI 1023534245
Nurse Practitioner - Pediatrics in Los Angeles, CA

Active since August 18, 2017
3030 W OLYMPIC BLVD STE 206, LOS ANGELES, CA 90006(213) 322-2666 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2024, Jul 21, 2022, Aug 18, 2017 (3 updates tracked since 2017).

About Dongsun Shin Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONGSUN SHIN NP (NPI 1023534245) is an individual pediatrics provider in Los Angeles, California, licensed in California (NP95011462) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1023534245
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDONGSUN SHINCredential: NP
Location Address3030 W OLYMPIC BLVD STE 206Los Angeles, CA 90006-6506
Mailing Address3030 W Olympic Blvd Ste 206Los Angeles, CA 90006-6506 · (213) 322-2666
Phone(213) 322-2666
Sole ProprietorNo
Enumeration DateAugust 18, 2017
Last NPPES UpdateJune 3, 20243 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1023534245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in CA · NP95011462✔ Licensed in CO · APN.0993223-NP
3030 W OLYMPIC BLVD STE 206, Los Angeles, CA 90006
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

3C COMMUNITY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
3030 W OLYMPIC BLVD STE 206
LOS ANGELES, CA 90006
Los Angeles County (310) 658-4494
DASOM CHUN
Nurse Practitioner (Family)
3030 W OLYMPIC BLVD STE 206
LOS ANGELES, CA 90006
Los Angeles County (213) 322-2666
JAE EUN KIM FNP
Nurse Practitioner (Family)
3030 W OLYMPIC BLVD STE 206
LOS ANGELES, CA 90006
Los Angeles County (213) 332-2666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dongsun Shin's NPI number?

The NPI number for Dongsun Shin is 1023534245. It was assigned to this individual provider in the NPPES registry on August 18, 2017.

Where is Dongsun Shin located?

Dongsun Shin practices at 3030 W Olympic Blvd Ste 206, Los Angeles, CA 90006. The listed phone number is (213) 322-2666.

What is Dongsun Shin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Dongsun Shin was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.