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NPI Code Detail

MEDICARE: DR. YOUNG SHIN PHARMD

MEDICARE: DR. YOUNG SHIN PHARMD
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
1183500000XPharmacist68233CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
168233OTHERCACALIFORNIA PHARMACY LICENSE

General Provider Information

NPI Number : 1497148498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YOUNG SHIN PHARMD
Provider Business Mailing Address
First Line : 1020 UNIVERSITY AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-7325
Country : US
Telephone Number : 619-298-5181
Fax Number :
Provider Business Practice Location Address
First Line : 1020 UNIVERSITY AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-7325
Country : US
Telephone Number : 619-298-5181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2015
Last Update Date : 03/15/2015

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Directions to “ DR. YOUNG SHIN PHARMD” Practice Location

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