MEDICARE: DR. SAMIR SHAHIN 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	207Q00000X	Family Medicine Physician	G53276	CA
2	208D00000X	General Practice Physician	G53276	CA

General Provider Information

NPI Number	:	1912010844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMIR SHAHIN MD

Provider Business Mailing Address
First Line	:	8930 S SEPULVEDA BLVD
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3606
Country	:	US
Telephone Number	:	310-641-8111
Fax Number	:	310-667-7274

Provider Business Practice Location Address
First Line	:	8930 S SEPULVEDA BLVD
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3606
Country	:	US
Telephone Number	:	310-641-8111
Fax Number	:	310-667-7274

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	09/11/2025

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Directions to “ DR. SAMIR SHAHIN MD” Practice Location

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