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SHINE HEALTHCARE INC. NPI 1568760239


NPI Information

NPI: 1568760239
Provider Name: SHINE HEALTHCARE INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D2044939

Address:
12371 IMPERIAL HWY
NORWALK, CA
ZIP 90650
Phone: (562) 929-5000
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SHINE HEALTHCARE INC. is a pediatrics in Norwalk, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SHINE HEALTHCARE INC. NPI is 1568760239. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12371 IMPERIAL HWY
NORWALK, CA
ZIP 90650-129
Phone: (562) 929-5000
Fax: (562) 375-6286

The provider's authorized official is Praful Sarode .
The authorized official title is Ceo and has the following contact phone number (562) 929-5000.

The CLIA number assigned to this NPI record is 05D2044939 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2011 and was last updated on 7/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA43383CALIFORNIANo
22080N0001XPediatricsNeonatal-Perinatal MedicineA43383CALIFORNIANo
32080P0203XPediatricsPediatric Critical Care MedicineA43383CALIFORNIANo
42080P0214XPediatricsPediatric PulmonologyA43383CALIFORNIANo
52083P0011XPreventive MedicineUndersea and Hyperbaric MedicineA43383CALIFORNIANo
6208M00000XHospitalistA43383CALIFORNIANo
7208000000XPediatricsA43383CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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