MOO SU SHIN D.D.S.
NPI 1194934620
Dentist - General Practice in Van Nuys, CA

Q: What is Moo Su Shin's NPI number?

The NPI number for Moo Su Shin is 1194934620. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Moo Su Shin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Moo Su Shin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 22, 2007

7112 VAN NUYS BLVD, 205, VAN NUYS, CA 91405(818) 787-9996(818) 787-0114 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Moo Su Shin D.d.s. NPPES

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

MOO SU SHIN D.D.S. (NPI 1194934620) is an individual general practice provider in Van Nuys, California, licensed in California (37162) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1194934620

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMOO SU SHINCredential: D.D.S.

Location Address7112 VAN NUYS BLVD, 205Van Nuys, CA 91405-3086

Mailing Address7112 Van Nuys Blvd, 205Van Nuys, CA 91405-3086 · (818) 787-9996 · Fax (818) 787-0114

Phone(818) 787-9996

Fax(818) 787-0114

Sole ProprietorYes

Enumeration DateMay 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1194934620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 37162

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

7112 VAN NUYS BLVD, Van Nuys, CA 91405

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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 Moo Su Shin's NPI number?

The NPI number for Moo Su Shin is 1194934620. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Moo Su Shin located?

Moo Su Shin practices at 7112 Van Nuys Blvd 205, Van Nuys, CA 91405. The listed phone number is (818) 787-9996.

What is Moo Su Shin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Moo Su Shin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.