IndividualActive
Marie Shin, DPM
NPI 1275824971 · Primary Podiatric Medicine Podiatrist · Garden Grove, CA
Provider details
- NPI number
- 1275824971
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5711 (CA)
Practice location
12665 Garden Grove Blvd Ste 203
Garden Grove, CA 92843-1916
Phone: (714) 620-4699
Fax: (888) 866-7055
Mailing address
12665 Garden Grove Blvd Ste 203
Garden Grove, CA 92843-1916
Registry dates
- Enumerated
- 2011-04-28
- Last updated
- 2025-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.