| Hyonah Shin, MD | |
|
5974 Pentz Rd, Paradise, CA 95969-5509 | |
| (530) 877-9361 | |
| Not Available |
| Full Name | Hyonah Shin |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 5974 Pentz Rd, Paradise, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902810559 | NPI | - | NPPES |
| 00A99790 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 231746 (New York) | Secondary |
| 207P00000X | Emergency Medicine | A99779 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Amador Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417040619 PECOS PAC ID: 2567495716 Enrollment ID: O20050916000969 |
| Entity Name | Vallejo Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083916373 PECOS PAC ID: 2961683693 Enrollment ID: O20110228000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Hyonah Shin, MD 2100 Powell St, Suite 920, Emeryville, CA 94608-1826 Ph: (510) 350-2673 | Hyonah Shin, MD 5974 Pentz Rd, Paradise, CA 95969-5509 Ph: (530) 877-9361 |
David E Damazo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5875 Clark Rd, Paradise, CA 95969 Phone: 530-877-5433 | |
Dr. Michael Evan Lockwood, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5974 Pentz Rd, Paradise, CA 95969 Phone: 530-877-9361 | |
Mrs. Christina Maria Elanie Umber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5974 Pentz Rd, Paradise, CA 95969 Phone: 530-877-9361 | |
Gregory M. Taylor, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5974 Pentz Rd, Emergency Department, Paradise, CA 95969 Phone: 530-877-9361 |