Search › California › 171100000X
Dong Joo Shin
NPI 1013636190 · on the registry since 2022 · sole proprietor
Practice
- Address
- 9884 Garden Grove Blvd
Garden Grove, CA 92844 - Phone
- (714) 822-7330
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California