Kwangsun C Shin
NPI 1316044159 · Community/Retail Pharmacy · La Mirada, CA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kwangsun C Shin is a Community/Retail Pharmacy organization in La Mirada, CA (NPI 1316044159).
Provider details
- NPI number
- 1316044159
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kwangsun Shin, Owner & Pic(562) 902-5580
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Imperial Pharmacy
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2016-12-01
Frequently asked questions
- What is Kwangsun C Shin's NPI number?
- Kwangsun C Shin's National Provider Identifier (NPI) is 1316044159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kwangsun C Shin?
- Kwangsun C Shin is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Kwangsun C Shin located?
- Kwangsun C Shin's practice location on file with NPPES is 15074 Imperial Hwy, La Mirada, CA 90638-1301.
- What is Kwangsun C Shin's phone number?
- The practice phone number listed in the NPPES registry for Kwangsun C Shin is (562) 902-5580.
- Does Kwangsun C Shin accept Medicare?
- Kwangsun C Shin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kwangsun C Shin?
- The authorized official listed on Kwangsun C Shin's NPPES record is Kwangsun Shin, Owner & Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kwangsun C Shin's NPI active?
- Yes — Kwangsun C Shin's NPI (1316044159) is active in the NPPES registry as of the last update on 2016-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.