Individual provider · Type 1 NPI

Desiree Shin, MSN, AGACNP-BC

Nurse Practitioner · Los Angeles, CA

NPI number 1457038945 Active

Practice location

200 Ucla Medical Plz Ste 365B
Los Angeles, CA 90095-8344

Call (310) 825-8061 Map

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	95016669 (CA)
Pulmonary Disease Physician	207RP1001X	95016669 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1457038945

Desiree Shin, MSN, AGACNP-BC's National Provider Identifier is 1457038945, issued on Jun 28, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 6, 2026.