Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tae M Shin, MD Inc

Organization Orthopaedic Surgery of the Spine Physician · NPI 1922139757

Tae M Shin, MD Inc is an Orthopaedic Surgery of the Spine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4220 W 3rd St Ste #208
Los Angeles, CA 90020-3450
Phone: (213) 386-3554
Fax: (805) 991-4065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence G85170 (CA)

Record details

NPI number1922139757
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rose Marie Rivera — Director Of Billing Operations · (805) 577-8730
NPI enumeratedMarch 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 65, Simi Valley, CA 93062-0065

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