Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KWANGSUN CHUN SHIN
Active Sole ProprietorKWANGSUN CHUN SHIN is a Long-Term Care Pharmacy healthcare provider located in LA MIRADA, California. NPI 1093274128 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · LA MIRADA, CA
Registration Details
- NPI Number
- 1093274128
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 18, 2019 (7.4377044932677 yrs)
- Last Updated
- Mar 18, 2019
- License
-
PHY46563 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15074 IMPERIAL HWYLA MIRADA, CA, 906381301Browse CA providers · Browse ZIP 90638
- Phone
- 5629025580
- Fax
- 5629025589
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.