MEDICARE: DR. ALBERT LEE SHIM MD

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	207R00000X	Internal Medicine Physician	A90789	CA
2	208000000X	Pediatrics Physician	A90789	CA

General Provider Information

NPI Number	:	1508046343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT LEE SHIM MD

Provider Business Mailing Address
First Line	:	535 N WINDSOR BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-1412
Country	:	US
Telephone Number	:	310-927-5937
Fax Number	:

Provider Business Practice Location Address
First Line	:	535 N WINDSOR BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-1412
Country	:	US
Telephone Number	:	310-927-5937
Fax Number	:

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

Provider Enumeration Date	:	11/09/2007
Last Update Date	:	04/27/2022

Similar Medicare Providers

1700432150 — MICHELLE GUISELINI BARON CMT
Practice Location Address:

539 N WINDSOR BLVD
LOS ANGELES, CA
90004-1412

Practice Phone: 323-378-6593
Practice Fax:

1033175922 — JOHN ROBERT DEBANTO MD
Practice Location Address:

1412 1/2 CALUMET AVE
LOS ANGELES, CA
90026-5494

Practice Phone: 678-897-3726
Practice Fax:

1902930936 — JAVIER ELIECER JARA D.D.S
Practice Location Address:

3129 N SAN FERNANDO RD
LOS ANGELES, CA
90065-1412

Practice Phone: 323-257-7744
Practice Fax: 323-257-5430

1043344096 — YVETTE GULESSERIAN DDS
Practice Location Address:

3129 N SAN FERNANDO RD
LOS ANGELES, CA
90065-1412

Practice Phone: 323-257-7744
Practice Fax: 323-257-5430

1831211820 — DAE H SONG DDS INC
Practice Location Address:

3129 N SAN FERNANDO RD
LOS ANGELES, CA
90065-1412

Practice Phone: 323-257-7744
Practice Fax: 323-257-5430

1457558942 — JONATHAN K LEE DDS
Practice Location Address:

3129 N SAN FERNANDO RD
LOS ANGELES, CA
90065-1412

Practice Phone: 323-257-7744
Practice Fax: 323-257-5430

Directions to “ DR. ALBERT LEE SHIM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.