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

Heeseop Shin, MD

Individual provider Diagnostic Radiology Physician · NPI 1780970681

Heeseop Shin, MD is a Diagnostic Radiology in Los Angeles, California. Graduated from University of Connecticut School of Medicine in 2011, 15 years ago. Practices with Good Samaritan Regional Health Center, a 155-clinician group and works from 3 locations. Licensed in California, Florida and Illinois.

Years since qualifying
15
Trained at
University of Connecticut School of Medicine
Licensed in
CA, FL, IL
In the registry since
2011
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1500 San Pablo St Fl 2
Los Angeles, CA 90033-5313
Phone: (323) 442-8541
Fax: (323) 442-8755
Show map & directions

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

Additional practice locations (2)

  • 119 Oakfield Dr, Brandon, FL 33511-5779 — (904) 399-5800
  • 55 Fruit St, Boston, MA 02114-2621 — (617) 643-3726

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A148948 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036151376 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME162827 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780970681
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2011
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Good Samaritan Regional Health Center — 155 clinicians
Accepts Medicare assignment Not indicated
Practice locations22 on file with Medicare

Other providers in Los Angeles