Physician Compare National (NPI:1720005259)

HEALTHCARE PROVIDER: MIN SOO SHIN MD,APC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1720005259
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668434754
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041101000670
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHIN
	Individual professional last name
Provider First Name	MIN
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1974
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2968 E FLORENCE AVE
	Group Practice or individual's line 1 address
City	HUNTINGTON PARK
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902555826
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050091
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COMMUNITY HOSPITAL OF HUNTINGTON PARK
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050641
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EAST LOS ANGELES DOCTORS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050771
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	COAST PLAZA HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M