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

Dr. Marie Wonkyong Shin, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1275824971

Dr. Marie Wonkyong Shin, DPM is a Podiatry in Garden Grove, California. Graduated from Barry University School of Podiatric Medicine in 2009, 17 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Trained at
Barry University School of Podiatric Medicine
Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

12665 Garden Grove Blvd Ste 203
Garden Grove, CA 92843-1916
Phone: (714) 620-4699
Fax: (888) 866-7055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4816 E 3rd St, Los Angeles, CA 90022-1602 — (323) 780-4510

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence 5711 (CA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 5711 (CA)

Record details

NPI number1275824971
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedApril 28, 2011
Last updated in NPPESAugust 26, 2025
Certification dateAugust 20, 2025

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolBARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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