Organization · Type 2 NPI
Frank D. Shin, Md, Inc
Clinic/Center · San Jose, CA
NPI number
1013104488
Active
Practice location
1440 S De Anza Blvd, Suite A
San Jose, CA 95129-4666
Mailing address
1440 S Deanza Blvd, Suite A
San Jose, CA 95129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | G80006 (CA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1013104488
Frank D. Shin, Md, Inc's National Provider Identifier is 1013104488, issued on Oct 1, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Jose, CA. The record was last updated on Jun 15, 2011.