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

Bongsun Shin

Individual provider Registered Nurse · NPI 1033744495

Bongsun Shin is a Registered Nurse in Anaheim, California. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

2648 W Ball Rd Apt 154
Anaheim, CA 92804-5090
Phone: (213) 292-3137
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 719108 (NY)

Record details

NPI number1033744495
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2020
Last updated in NPPESMarch 5, 2020
Certification dateMarch 5, 2020
Mailing address2648 W Ball Rd Apt 154, Anaheim, CA 92804-5090

Other providers in Anaheim