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Soomin Sarah Shin, PT

Physical Therapist in Buena Park, CA. Individual provider (NPI-1).

NPI number1962077917
StatusActive
Last updated in NPPESMay 21, 2021

Details

NPI
1962077917
Entity type
Individual (NPI-1)
Name
Soomin Sarah Shin
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2021
Certification date
May 21, 2021
Last updated
May 21, 2021

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 codeDescriptionLicenseStatePrimary
225100000X Physical Therapist300024CAYes

Practice location

7941 Beach Blvd Ste J
Buena Park, CA 90620-1900

Phone 714-736-6855 · Fax 714-736-6824

Mailing address

17 Jaynes Pl
Buena Park, CA 90621-8427

Phone 714-788-4729

Is something wrong?

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.

Other Physical Therapist providers in Buena Park, CA

All 46 Physical Therapist providers in Buena Park · All 1,129 providers in Buena Park

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