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

Chang Sung Shin, DO

Individual provider Family Medicine Physician · NPI 1568922649

Chang Sung Shin, DO is a Family Practice in Van Nuys, California. Qualified in 2018, 8 years ago. Practices with Gap Post-Acute Care Services, a 14-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

15107 Vanowen St
Van Nuys, CA 91405-4542
Phone: (818) 325-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 19680 (CA)

Record details

NPI number1568922649
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 23, 2019
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address14320 Ventura Blvd Ste 217, Sherman Oaks, CA 91423-2717

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Gap Post-Acute Care Services — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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