| Frank D. Shin, Md, Inc | |
|
1440 S De Anza Blvd Suite A San Jose CA 95129-4666 | |
| (408) 366-0405 | |
| Not Available |
| Full Name | Frank D. Shin, Md, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1440 S De Anza Blvd, San Jose, California |
| Authorized Official Name and Position | Frank Da Shin (CEO) |
| Authorized Official Contact | 4083660405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frank D. Shin, Md, Inc 1440 S Deanza Blvd Suite A San Jose CA 95129 Ph: (408) 366-0405 | Frank D. Shin, Md, Inc 1440 S De Anza Blvd Suite A San Jose CA 95129-4666 Ph: (408) 366-0405 |
| NPI Number | 1013104488 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 06/15/2011 |
| Medicare PECOS PAC ID | 8426040411 |
|---|---|
| Medicare Enrollment ID | O20040331000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013104488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | G80006 (California) | Primary |
| Provider Name | Frank Da Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003992264 PECOS PAC ID: 3779483094 Enrollment ID: I20040405001737 |
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