Jieun Shin, | |
9896 Garden Grove Blvd, Garden Grove, CA 92844-1643 | |
(714) 636-3032 | |
(714) 636-3116 |
Full Name | Jieun Shin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 9896 Garden Grove Blvd, Garden Grove, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275035917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | NP95008532 (California) | Primary |
Entity Name | Garden Grove Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972781458 PECOS PAC ID: 1456514264 Enrollment ID: O20120515000096 |
Mailing Address | Practice Location Address |
---|---|
Jieun Shin, 9896 Garden Grove Blvd, Garden Grove, CA 92844-1643 Ph: (714) 636-3032 | Jieun Shin, 9896 Garden Grove Blvd, Garden Grove, CA 92844-1643 Ph: (714) 636-3032 |
Barbara C Kenerson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6151 Cerulean Ave, Garden Grove, CA 92845 Phone: 714-943-3126 | |
Ms. Jung Eun Yim, N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9828 Garden Grove Blvd Ste 201, Garden Grove, CA 92844 Phone: 714-530-9633 Fax: 714-530-4410 | |
Ms. Jennifer Amos, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12141 Brookhurst St, Garden Grove, CA 92840 Phone: 714-296-1934 | |
Anh Nguyen Galleta, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9191 Westminster Ave Ste 106, Garden Grove, CA 92844 Phone: 714-583-6340 | |
Mrs. Adita Graciela Mckenzie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12751 Harbor Blvd, Garden Grove, CA 92840 Phone: 714-620-8883 | |
Tu Thuy Tonnu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14221 Euclid St Ste H, Garden Grove, CA 92843 Phone: 714-539-9999 Fax: 714-539-9015 | |
Susan Jean Reynolds, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9802 Woodbury Ave, Garden Grove, CA 92844 Phone: 714-663-6411 Fax: 714-663-6470 |