Bongsun Shin
Registered Nurse in Anaheim, CA. Individual provider (NPI-1).
NPI number1033744495
StatusActive
Last updated in NPPESMar 5, 2020
Details
- NPI
- 1033744495
- Entity type
- Individual (NPI-1)
- Name
- Bongsun Shin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2020
- Certification date
- Mar 5, 2020
- Last updated
- Mar 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 719108 | NY | Yes |
Practice location
2648 W Ball Rd Apt 154Anaheim, CA 92804-5090
Phone 213-292-3137
Mailing address
2648 W Ball Rd Apt 154Anaheim, CA 92804-5090
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