Kwangsun C Shin is an authorized DME supplier for medicare equipments and products.
Kwangsun C Shin is a Community/Retail Pharmacy in La Mirada, California. It is located at 15074 Imperial Hwy, La Mirada and it's customer support contact number is 562-902-5580. The authorized person of Kwangsun C Shin is Kwangsun Shin who is Owner & Pic of the pharmacy and his contact number is 562-902-5580. Active license number of Kwangsun C Shin is PHY46563 for Community/Retail Pharmacy in California. Kwangsun C Shin accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Kwangsun C Shin is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Kwangsun C Shin type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Kwangsun C Shin
Type:
Community/Retail Pharmacy
Location:
15074 Imperial Hwy, La Mirada, California, 90638-1301
Phone:
562-902-5580
Fax:
562-902-5589
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Kwangsun Shin
Position:
Owner & Pic
Contact Number:
562-902-5580
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1316044159
NPI Enumeration Date:
20 Sep, 2006
NPI Last Update On:
01 Dec, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kwangsun C Shin are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHY46563
California
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2112601
Other
Pk
PHA465630
Medicaid
California
Medicare Enrollment:
Kwangsun C Shin is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
7416164751
O20100930097559
Kwangsun C Shin
DME SUPPLIER - PHARMACY
Products Available:
Kwangsun C Shin has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Cpap, Rads, & Related Supplies & Accessories
Diabetic Shoes & Inserts: Prefabricated
Heat & Cold Applications
Hospital Beds: Electric
Hospital Beds: Manual
Orthoses: Off-the-shelf
Orthoses: Prefabricated
Patient Lifts
Power Operated Vehicles (scooters)
Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads
Surgical Dressings
Urological Supplies
Walkers
Wheelchair Seating/cushions
Wheelchairs & Accessories: Standard Manual
Wheelchairs & Accessories: Standard Power
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15074 Imperial Hwy, La Mirada, California
Zip:
90638-1301
Phone Number:
562-902-5580
Fax Number:
562-902-5589
Patients can reach Kwangsun C Shin at 15074 Imperial Hwy, La Mirada, California or can call on customer care at 562-902-5580.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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