Provider Demographics
NPI:1275782773
Name:SHIN FOOT AND ANKLE SPECIALISTS, INC
Entity Type:Organization
Organization Name:SHIN FOOT AND ANKLE SPECIALISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HEAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:760-630-9200
Mailing Address - Street 1:3230 WARING CT
Mailing Address - Street 2:SUITE M
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4509
Mailing Address - Country:US
Mailing Address - Phone:760-630-9200
Mailing Address - Fax:
Practice Address - Street 1:3230 WARING CT
Practice Address - Street 2:SUITE M
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4509
Practice Address - Country:US
Practice Address - Phone:760-630-9200
Practice Address - Fax:760-630-6239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty