Kwangsun C Shin
Community/Retail Pharmacy
15074 Imperial Hwy, La Mirada
California, 90638-1301
562-902-5580 562-902-5589
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.