TAE M SHIN, M.D. INC. (NPI# 1922139757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922139757 |
| Entity Type | Organization |
| Organization Name | TAE M SHIN, M.D. INC. |
| Practice Address |
4220 W 3rd St Suite #208 Los Angeles CA 90020-3450 |
| Mailing Address |
Po Box 65 Simi Valley CA 93062-0065 |
| Practice Telephone | 2133863554 |
| Practice Fax Number | 8059914065 |
| Mailing Telephone | 8055778730 |
| Mailing Fax Number | 8059914065 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS ROSE MARIE RIVERA (DIRECTOR OF BILLING OPERATIONS) |
| Authorized Official Telephone | 8055778730 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
G85170 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G851700 | 05 |
| Street Address |
4220 W 3RD ST SUITE #208 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033103346 | Won Bo Lee | Radiology | 4220 W 3rd St, #102, Los Angeles, CA 90020-3450 | 2005-09-01 |
| 1346795879 | David K. Kahng, Md, Apc | Plastic Surgery | 4220 W 3rd St, Suite 210, Los Angeles, CA 90020-3450 | 2016-08-25 |
| 1891148532 | Serrano Surgery Center, Inc | Clinic/Center | 4220 W 3rd St, Suite 114, Los Angeles, CA 90020-3450 | 2016-07-18 |
| 1699014852 | Dk Surgery Center, A Medical Corporation | Clinic/Center | 4220 W 3rd St, Suite 102, Los Angeles, CA 90020-3450 | 2013-02-07 |
| 1376789644 | David K Kahng Md A Professional Corporation | Plastic Surgery | 4220 W 3rd St, Suite 102, Los Angeles, CA 90020-3450 | 2008-12-17 |
| 1518129980 | Samantha Chai | Ophthalmology | 4220 W 3rd St, Suite 206, Los Angeles, CA 90020-3450 | 2008-06-27 |
| 1225207764 | James I Song Pharmd Pharmacy Inc | Pharmacy | 4220 W 3rd St, Ste 100, Los Angeles, CA 90020-3450 | 2008-02-28 |
| 1104095884 | James I Song | Pharmacist | 4220 W 3rd St, Suite 100, Los Angeles, CA 90020-3450 | 2008-02-26 |
| 1578749610 | Robert Park | Dentist | 4220 W 3rd St, Ste 202, Los Angeles, CA 90020-3450 | 2008-01-19 |
| 1841499332 | Susan Y Kim | Optometrist | 4220 W 3rd St, Suite 206, Los Angeles, CA 90020-3450 | 2007-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1396253266 | Select Health of Ca, LLC | Orthopaedic Surgery | 8939 S Sepulveda Blvd Ste 102a, Los Angeles, CA 90045-3605 | 2018-01-13 |
| 1023526993 | Optimal Health of Ca IIi, LLC | Orthopaedic Surgery | 8939 S Sepulveda Blvd Ste 102b, Los Angeles, CA 90045-3605 | 2018-01-13 |
| 1407127657 | Francis Gerard D'ambrosio | Orthopaedic Surgery | 851 Devon Ave, Los Angeles, CA 90024-2507 | 2012-01-19 |
| 1689851693 | Orthopedic Center for Excellence Medical Group A Medical Corp | Orthopaedic Surgery | 1300 No Vermont Avenue, Suite 710 Doctors Tower, Los Angeles, CA 90027 | 2008-01-22 |
| 1134257058 | Jeffrey C Wang | Orthopaedic Surgery | 1450 San Pablo St Ste 5400, Los Angeles, CA 90033-5331 | 2007-03-01 |
| 1033268156 | Michael Louis Schiffman | Orthopaedic Surgery | 8610 S Sepulveda Blvd Ste 109, Los Angeles, CA 90045-4008 | 2007-01-09 |
| 1750483723 | Tae Min Shin | Orthopaedic Surgery | 1245 Wilshire Blvd., Suite 400, Los Angeles, CA 90017 | 2006-09-01 |
| 1427585306 | Abc Spine Inc. | Orthopaedic Surgery | 444 S San Vicente Blvd Ste 901, Los Angeles, CA 90048-4174 | 2017-05-22 |
| 1831575711 | Sang Do Kim Md Corporation | Orthopaedic Surgery | 444 S San Vicente Blvd Ste 901, Los Angeles, CA 90048-4174 | 2015-08-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
Please comment or provide details below to improve the information on TAE M SHIN, M.D. INC..
| 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.