Doctor Name: | DR. CHRISTOPHER SHIN |
NPI Number: | 1053422253 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M |
License Number: | E4623 |
Business Practice Address: | 39755 Murrieta Hot Springs Rd Suite D - 130 Murrieta, CA - 925639101 |
Business Phone Number: | 9516984611 |
Business Fax Number: | 9516984615 |
Mailing Address: | 41547 Grand View Dr, MURRIETA |
State: | CA |
Postal Code: | 92562 |
Phone Number: | 9516747223 |
Fax Number: | 9516984615 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E4623 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |