Individual provider · Type 1 NPI

Marie Wonkyong Shin, DPM

Primary Podiatric Medicine Podiatrist · Garden Grove, CA

NPI number 1275824971 Active

Practice location

12665 Garden Grove Blvd Ste 203
Garden Grove, CA 92843-1916

Fax (888) 866-7055

Other practice locations

  • 4816 E 3rd St, Los Angeles, CA 90022-1602 · (323) 780-4510

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103X5711 (CA)
Primary Podiatric Medicine Podiatrist Primary 213EP1101X5711 (CA)

Primary Podiatric Medicine Podiatrist: Definition to come...

3 other providers at this address

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About NPI 1275824971

Marie Wonkyong Shin, DPM's National Provider Identifier is 1275824971, issued on Apr 28, 2011. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Garden Grove, CA. The record was last updated on Aug 26, 2025.