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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARIE WONKYONG SHIN, DPM

Active Sole Proprietor

DR. MARIE WONKYONG SHIN, DPM is a Radiology Podiatrist healthcare provider located in GARDEN GROVE, California. NPI 1275824971 is currently active in the NPPES registry. Verify at CMS.

Radiology Podiatrist · GARDEN GROVE, CA

Registration Details

NPI Number
1275824971
Provider Type
Individual
Gender
Female
NPI Issued
Apr 28, 2011 (15.115877154909 yrs)
Last Updated
Aug 26, 2025
Licenses
5711 (CA)
5711 (CA)
Sole Proprietor
Yes

Practice Information

Address
12665 GARDEN GROVE BLVD STE 203
GARDEN GROVE, CA, 928431916
Browse CA providers · Browse ZIP 92843
Phone
7146204699
Fax
8888667055
Primary Specialty
Radiology Podiatrist
213EP1101X
Additional Specialty
Radiology Podiatrist

Other Radiology Podiatrist Providers in GARDEN GROVE, CA

Name Credential NPI
DR. DUC TIEN NGUYEN D.P.M, D.C 1245495498
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.