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ELLEN SHIN
NPI 1588123798
Family Medicine in Rancho Cucamonga, CA

Active since March 18, 2019
10750 4TH ST BLDG 1, RANCHO CUCAMONGA, CA 91730(909) 481-1332 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 5, 2023, Mar 18, 2019 (2 updates tracked since 2019).

About Ellen Shin NPPES

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

ELLEN SHIN (NPI 1588123798) is an individual family medicine provider in Rancho Cucamonga, California, licensed in California (A180492) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1588123798
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELLEN SHIN
Location Address10750 4TH ST BLDG 1Rancho Cucamonga, CA 91730-0979
Mailing Address10750 4th St Bldg 1Rancho Cucamonga, CA 91730-0979 · (909) 481-1332
Phone(909) 481-1332
Sole ProprietorNo
Enumeration DateMarch 18, 2019
Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1588123798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A180492
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10750 4TH ST BLDG 1, Rancho Cucamonga, CA 91730
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Frequently Asked Questions

What is Ellen Shin's NPI number?

The NPI number assigned to this healthcare provider is 1588123798, enumerated as an "individual" on March 18, 2019.

Where is the provider located?

The provider is located at 10750 4TH ST BLDG 1 RANCHO CUCAMONGA, CA 91730 and the phone number is (909) 481-1332.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.