Ellen Shin
Ellen Shin is a Student in an Organized Health Care Education/Training Program in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
10750 4th St Bldg 1Rancho Cucamonga, CA 91730-0979
Phone: (909) 481-1332
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A180492 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1588123798 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 18, 2019 |
| Last updated in NPPES | September 5, 2023 |
| Certification date | September 5, 2023 |
| Mailing address | 10750 4th St Bldg 1, Rancho Cucamonga, CA 91730-0979 |
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