JIEUN SHIN


Address: 12828 Harbor Blvd Ste 320, Garden Grove, CA 92840-5834
Phone: 7146363032

JIEUN SHIN (NPI# 1275035917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275035917
Entity Type Individual
Full Name JIEUN SHIN
Practice Address 12828 Harbor Blvd Ste 320
Garden Grove
CA 92840-5834
Mailing Address 12842 Palm St Ph 4
Garden Grove
CA 92840-6427
Practice Telephone 7146363032
Enumeration Date 2018-03-07
Last Update Date 2018-03-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
NP95008532 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12828 HARBOR BLVD STE 320
City GARDEN GROVE
State CA
Zip Code 92840-5834

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255846226 Providence Foot and Ankle Center Podiatrist 12828 Harbor Blvd Ste 320, Garden Grove, CA 92840-5834 2017-12-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588283808 Kimberly Gaeta Behavioral Analyst 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 2020-04-16
1396397170 Rosa Cortez Behavior Technician 12443 Lewis Street, #201, Garden Grove, CA 92840 2019-07-12
1376005934 Sekboppa Sor Nurse Practitioner An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 2019-04-03
1346730116 Vinh Le Tran Pharmacist 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 2018-05-16
1841715232 Scott R. Blair Physician Assistant 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 2017-08-07
1881049492 Carmen Keally Dietitian, Registered 12602 9th St, Garden Grove, CA 92840 2016-05-02
1548688732 House Call Medical Associates, Inc. Internal Medicine 12865 Main St Ste 105, Garden Grove, CA 92840 2014-04-03
1851733059 Carly Ann Wade Marriage & Family Therapist 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 2013-07-29
1003159864 Priyal Shah Ohri Dentist 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 2013-03-30
1770853244 Joseph Pham Pharmacist 12001 Euclid St., Garden Grove, CA 92840 2011-12-30
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376005934 Sekboppa Sor Nurse Practitioner An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 2019-04-03
1770830499 Christina Duong Nurse Practitioner 7761 Garden Grove Blvd, Garden Grove, CA 92841-4200 2012-08-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235738782 Peninsula Healthcare Center Nurse Practitioner 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 2020-10-25
1710584008 Venessa Beck Nurse Practitioner 903 Cardiff St, San Diego, CA 92114-5019 2020-10-08
1053918094 Janel Nicole Sanglerat Nurse Practitioner 416 Aviation Blvd, Santa Rosa, CA 95403-1032 2020-10-02
1790382760 Christopher Tran Nurse Practitioner 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 2020-10-02
1487266292 Mollie Shira Hudson Nurse Practitioner 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 2020-08-21
1962014381 Mario Javier Herrera Nurse Practitioner 2130 High Pointe Dr, Apt 108, Corona, CA 92879 2020-08-18
1952912131 Norman Ivan Kier Nurse Practitioner 3834 Edison Ave, Sacramento, CA 95821-2728 2020-08-12
1942811377 Thanhan Mathews Nurse Practitioner 114 W Cameron St Apt B, Hanford, CA 93230-2965 2020-08-10
1972113355 Marine Mary Kademyan Nurse Practitioner 6528 Babcock Ave, North Hollywood, CA 91606 2020-07-31
1245849645 Shannon Pereira Nurse Practitioner 2368 Honeysuckle Way, Hemet, CA 92545-4796 2020-07-31
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Competitor

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City GARDEN GROVE
Zip Code 92840

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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