MEDICARE: MIN JI SHIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	74242	CA

General Provider Information

NPI Number	:	1881043362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIN JI SHIN

Provider Business Mailing Address
First Line	:	3525 W 8TH ST STE 109
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-5030
Country	:	US
Telephone Number	:	213-674-7120
Fax Number	:	213-674-7270

Provider Business Practice Location Address
First Line	:	3525 W 8TH ST STE 109
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-5030
Country	:	US
Telephone Number	:	213-674-7120
Fax Number	:	213-674-7270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2016
Last Update Date	:	09/16/2025

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Directions to “ MIN JI SHIN ” Practice Location

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