Marie Wonkyong Shin, DPM Valid NPI
Individual provider · Primary Podiatric Medicine Podiatrist · Garden Grove, CA
- NPI
- 1275824971
- Type
- Individual (Type 1)
- Primary specialty
- Primary Podiatric Medicine Podiatrist (Podiatrist)
- Specialty group
- Podiatric Medicine & Surgery Service Providers
- Taxonomy code
- 213EP1101X
- License number
- 5711 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-04-28
- Last updated
- 2025-08-26
Practice location
12665 Garden Grove Blvd Ste 203
Garden Grove, CA 92843-1916
(714) 620-4699