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SHINE MMG INC NPI 1053930248


NPI Information

NPI: 1053930248
Provider Name: SHINE MMG INC

Doing Business As: SHINE MMG

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
450 N BRAND BLVD STE 625A
GLENDALE, CA
ZIP 91203
Phone: (818) 745-0070
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SHINE MMG INC is a family medicine in Glendale, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHINE MMG INC NPI is 1053930248. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shine Mmg.

The provider's business location address is:

450 N BRAND BLVD STE 625A
GLENDALE, CA
ZIP 91203-347
Phone: (818) 745-0070
Fax: (818) 745-0065

The provider's authorized official is Emil Golub .
The authorized official title is Cfo and has the following contact phone number (424) 204-6004.

The enumeration date for this NPI number is 4/8/2020 and was last updated on 4/8/2020.


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 MedicineYes

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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