MEDICARE: EUNSHIK SHIN D.C

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	111N00000X	Chiropractor	32180	CA

General Provider Information

NPI Number	:	1225300973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUNSHIK SHIN D.C

Provider Business Mailing Address
First Line	:	520 S VIRGIL AVE
Second Line	:	STE 503
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1452
Country	:	US
Telephone Number	:	323-823-0715
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 S VIRGIL AVE
Second Line	:	STE 503
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1452
Country	:	US
Telephone Number	:	323-823-0715
Fax Number	:

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

Provider Enumeration Date	:	01/26/2012
Last Update Date	:	12/09/2021

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Directions to “ EUNSHIK SHIN D.C” Practice Location

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