DR. DONGSOO SHIN M.D
NPI 1811068190
Family Medicine in La Mirada, CA

Active since November 10, 2006
15651 IMPERIAL HWY, SUITE 205, LA MIRADA, CA 90638(562) 943-4747(888) 552-6469 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dongsoo Shin M.d NPPES

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

DR. DONGSOO SHIN M.D (NPI 1811068190) is an individual family medicine provider in La Mirada, California, licensed in California (A37182) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1811068190
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DONGSOO SHINCredential: M.D
Location Address15651 IMPERIAL HWY, SUITE 205La Mirada, CA 90638-1628
Mailing Address15651 Imperial Hwy, Suite 205La Mirada, CA 90638-1128 · (562) 943-4747 · Fax (888) 552-6469
Fax(888) 552-6469
Sole ProprietorYes
Enumeration DateNovember 10, 2006
Last NPPES UpdateMay 30, 2012
NPI 1811068190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A37182
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.
15651 IMPERIAL HWY, La Mirada, CA 90638

Other Identifiers 3

Medicaid00A371820CA
Medicare PINA37182ACA
Medicare UPINE98985CA

Other Providers at the Same Location NPPES 10

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

Radiology (Diagnostic Radiology)
15651 IMPERIAL HWY, SUITE 103
LA MIRADA, CA 90638
Dentist
15651 IMPERIAL HWY, SUITE 201
LA MIRADA, CA 90638
Family Medicine
15651 IMPERIAL HWY, SUITE 101
LA MIRADA, CA 90638
Surgery
15651 IMPERIAL HWY, STE 207
LA MIRADA, CA 90638
Clinic/Center (Dental)
15651 IMPERIAL HWY, SUITE 201A
LA MIRADA, CA 90638
Pediatrics
15651 IMPERIAL HWY, SUITE#103
LA MIRADA, CA 90638
Clinic/Center (Radiology)
15651 IMPERIAL HWY, SUITE 103
LA MIRADA, CA 90638
Dentist (Endodontics)
15651 IMPERIAL HWY, SUITE 201A
LA MIRADA, CA 90638

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 Dongsoo Shin's NPI number?

The NPI number for Dongsoo Shin is 1811068190. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Dongsoo Shin located?

Dongsoo Shin practices at 15651 Imperial Hwy Suite 205, La Mirada, CA 90638. The listed phone number is (562) 943-4747.

What is Dongsoo Shin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Dongsoo Shin was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.