Dr. Bo Kyong Shin
DPM | Podiatrist | 17+ years Exp
Medicare Enrolled
4618 Fountain Ave, Los Angeles
California, 90029-1830
323-953-7170 323-663-2379
Maps & DirectionsDr. Bo Kyong Shin is a Los Angeles, California based podiatrist with 17 years of experience in Podiatry. She completed her graduation from Kent State University College Of Podiatric Medicine in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Bo Kyong Shin for Podiatry is 25MD00308100 in New Jersey.
Dr. Bo Kyong Shin is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Bo Kyong Shin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 17+ years |
| Medical School Attended: | Kent State University College Of Podiatric Medicine |
| Graduation Year: | 2008 |
| Gender: | Female |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4618 Fountain Ave, Los Angeles,
California, 90029-1830 |
| Phone: | 323-953-7170 |
| Fax: | 323-663-2379 |
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 are as mentioned below.
| PAC ID: | 1557532439 |
| Enrollment ID: | I20110926000671 |
| NPI Number: | 1568769149 |
| NPI Enumeration Date: | 17 Feb, 2011 |
| NPI Last Update On: | 28 Sep, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bo Kyong Shin are as mentioned below.
| License Number | Specialization | State | Status | |
| 25MD00308100 | Podiatry | New Jersey | Primary | |
| 006460 | Podiatry | New York | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Bo Kyong Shin is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Riverside Pediatric Group Pc (3072650290) | 218 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 404 Shatto Pl # 351a,
Los Angeles, California |
| Zip: | 90020-1723 |
| Phone Number: | 404-825-8099 |
| Fax Number: | 888-866-7055 |
Patients can reach Dr. Bo Kyong Shin at
4618 Fountain Ave, Los Angeles, California or can
call to book an appointment on 323-953-7170.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.