| Tae Min Shin, MD | |
|
1245 Wilshire Blvd., Suite 400, Los Angeles, CA 90017 | |
| (213) 482-2992 | |
| (213) 482-2999 |
| Full Name | Tae Min Shin |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 32 Years |
| Location | 1245 Wilshire Blvd., Suite 400, Los Angeles, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750483723 | NPI | - | NPPES |
| 00G851700 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | G85170 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hollywood Presbyterian Medical Center | Los angeles, CA | Hospital |
| Good Samaritan Hospital | Los angeles, CA | Hospital |
| Entity Name | Los Angeles Orthopaedic Center Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013011345 PECOS PAC ID: 8224026133 Enrollment ID: O20040430001177 |
| Entity Name | Tae M Shin, M.d. Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922139757 PECOS PAC ID: 0749387801 Enrollment ID: O20070524000193 |
| Entity Name | Pacifica Foundation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386352466 PECOS PAC ID: 0648624718 Enrollment ID: O20230922001415 |
| Mailing Address | Practice Location Address |
|---|---|
| Tae Min Shin, MD 1245 Wilshire Blvd Ste 400, Los Angeles, CA 90017-4810 Ph: (213) 482-2992 | Tae Min Shin, MD 1245 Wilshire Blvd., Suite 400, Los Angeles, CA 90017 Ph: (213) 482-2992 |
Dr. Lucille Chaille, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-2170 Fax: 323-226-5760 | |
Gabriel Josef Bouz, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2025 Zonal Ave # Gnh3900, Los Angeles, CA 90089 Phone: 323-409-7409 | |
Erin Meisel, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1200 N State St, Gnh 3900, Los Angeles, CA 90033 Phone: 323-226-7210 | |
Micah Paul Adamson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Ucla Medical Plz Ste 755, Los Angeles, CA 90024 Phone: 310-319-1234 | |
Dr. Steven Lawrence Zeitzew, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 8113 1/2 Melrose Ave, Los Angeles, CA 90046 Phone: 323-852-1259 Fax: 323-852-1259 | |
Dr. William T Long, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 N Vermont Ave Ste 100, Los Angeles, CA 90027 Phone: 323-913-4300 | |
Kathleen Rose Savage, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 E Cesar E Chavez Ave, Suite 2200, Los Angeles, CA 90033 Phone: 323-264-7600 Fax: 323-261-8027 |