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

Paul J Shin, MD, PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710349386

Paul J Shin, MD, PHD is a General Surgery in Santa Monica, California. Graduated from Univ of Rochester School of Dental Medicine in 2016, 10 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Trained at
Univ of Rochester School of Dental Medicine
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone: (310) 315-6125
Fax: (310) 582-7163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A191229 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710349386
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedMarch 23, 2016
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIV OF ROCHESTER SCHOOL OF DENTAL MEDICINE
Graduated 2016 (10 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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