Christina Shin, OTD, OTR/L, CLT-LANA
Occupational Therapist in Garden Grove, CA. Individual provider (NPI-1).
NPI number1013776012
StatusActive
Last updated in NPPESMar 13, 2024
Details
- NPI
- 1013776012
- Entity type
- Individual (NPI-1)
- Name
- Christina Shin
- Credential
- OTD, OTR/L, CLT-LANA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2024
- Certification date
- Mar 13, 2024
- Last updated
- Mar 13, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT18019 | CA | Yes |
Practice location
12786 Newhope StGarden Grove, CA 92840-5537
Phone 949-866-3570
Mailing address
12786 Newhope StGarden Grove, CA 92840-5537
Phone 714-235-0359
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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