MEDICARE: JOOMEE SHIM

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	207RH0003X	Hematology & Oncology Physician	A147385	CA

General Provider Information

NPI Number	:	1942526934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOOMEE SHIM

Provider Business Mailing Address
First Line	:	PO BOX 31309
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90031-0309
Country	:	US
Telephone Number	:	323-865-3103
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 EASTLAKE AVE # NOR3440
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90089-5018
Country	:	US
Telephone Number	:	323-865-3105
Fax Number	:

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

Provider Enumeration Date	:	04/15/2010
Last Update Date	:	11/27/2023

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Directions to “ JOOMEE SHIM ” Practice Location

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