Peter E Shin, M.D.
Emergency Medicine, Emergency Medical Services in Glendale, CA. Individual provider (NPI-1).
NPI number1083754261
StatusActive
Last updated in NPPESJun 20, 2012
Details
- NPI
- 1083754261
- Entity type
- Individual (NPI-1)
- Name
- Peter E Shin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2007
- Last updated
- Jun 20, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 207PE0004X | Emergency Medicine, Emergency Medical Services | A106933 | CA | Yes |
Practice location
1509 Wilson TerEmergency Dept. - Glendale Adventist Medical Center
Glendale, CA 91206-4007
Phone 818-409-8000
Mailing address
416 E Broadway#311
Glendale, CA 91205-1047
Phone 818-396-4383 · Fax 818-396-4383
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