IndividualActive
Albert Shin
NPI 1558909705 · Critical Care Medicine Nurse Practitioner · Orange, CA
Provider details
- NPI number
- 1558909705
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 792313 (CA)
Mailing address
1612 Fair Oaks Ave Apt 23
South Pasadena, CA 91030-4735
Registry dates
- Enumerated
- 2019-12-18
- Last updated
- 2024-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.