Dr. Leo S Shin
Dentist - General Practice
1401 Avocado Ave Ste 701
Newport Beach
, California 92660-8709
Dr. Leo S Shin
Dentist - General Practice
1401 Avocado Ave Ste 701
Newport Beach
, California 92660-8709
(949) 648-2202
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Leo S Shin
- 1401 Avocado Ave Ste 701
- Newport Beach, CA
- Zip : 92660-8709
- Phone : (949) 648-2202
Second Address
- Dr. Leo S Shin
- 1401 Avocado Ave Ste 701
- Newport Beach, CA
- Zip : 92660-8709
- Phone : (949) 648-2202
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 61430 | CA |
| Y | 213EG0000X | General Practice | 61430 | CA |
National Provider Identifier
| NPI | 1003162066 |
|---|---|
| Provider Name | Dr. Leo S Shin |
| First Address | Newport Beach, CA 92660-8709 |
| Second Address | Newport Beach, CA 92660-8709 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2012 |
| Last Update Date | 28/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.