Jason H. Shin, MD, INC., A Professional Medical Corporation
Clinic/Center in Pomona, CA. Organization (NPI-2).
NPI number1275897878
StatusActive
Last updated in NPPESMar 20, 2020
Details
- NPI
- 1275897878
- Entity type
- Organization (NPI-2)
- Legal business name
- Jason H. Shin, MD, INC., A Professional Medical Corporation
- Organization subpart
- No
- Enumeration date
- Jun 28, 2012
- Certification date
- Mar 20, 2020
- Last updated
- Mar 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | A46382 | CA | Yes |
Practice location
250 W Bonita AveSuite 250
Pomona, CA 91767-1863
Phone 909-593-2031 · Fax 909-593-2032
Mailing address
250 W Bonita AveSuite 250
Pomona, CA 91767-1863
Phone 909-593-2031 · Fax 909-593-2032
Authorized official
Jason H Shin
President
9095932031
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