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TIMOTHY SHIN
NPI 1689391708
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since October 20, 2022
1003 S BEACON ST, SAN PEDRO, CA 90731(310) 503-7144 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Timothy Shin NPPES

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

TIMOTHY SHIN (NPI 1689391708) is an individual addiction (substance use disorder) provider in San Pedro, California and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1689391708
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTIMOTHY SHIN
Location Address1003 S BEACON STSan Pedro, CA 90731-4324
Mailing Address1003 S Beacon StSan Pedro, CA 90731-4324 · (310) 503-7144
Phone(310) 503-7144
Sole ProprietorNo
Enumeration DateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
✔ NPI 1689391708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1003 S BEACON ST, San Pedro, CA 90731
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Other Providers at the Same Location NPPES 20

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

JOSEPH D HARRINGTON RADT
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
AARON ROGER CRANDELL
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 868-9583
MARTIN GALLARDO RADT
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
RAYMOND SETH MORENO
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
KYLE VINCENT CONNEALLY
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
MR. JOSEPH TYLER DUGGAN RAC
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
MR. MATTHEW R KEOUGH
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
MR. DANDRE JONES
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (424) 772-9669

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 Timothy Shin's NPI number?

The NPI number for Timothy Shin is 1689391708. It was assigned to this individual provider in the NPPES registry on October 20, 2022.

Where is Timothy Shin located?

Timothy Shin practices at 1003 S Beacon St, San Pedro, CA 90731. The listed phone number is (310) 503-7144.

What is Timothy Shin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Timothy Shin was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.