SHINE FUNCTIONAL DERMATOLOGY NPI 1205593316

NPI Information

  • NPI: 1205593316
  • Provider Name: SHINE FUNCTIONAL DERMATOLOGY
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Doing Business As: ASSOCIATION OF PHOTOTHERAPY PROFESSIONALS
  • Address: 566 E ST
    LINCOLN, CA
    ZIP 95648
  • Phone: (916) 645-1447

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NPI Details

SHINE FUNCTIONAL DERMATOLOGY is a dermatology in Lincoln, CA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. SHINE FUNCTIONAL DERMATOLOGY NPI is 1205593316. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Association Of Phototherapy Professionals.

The provider's business location address is:

566 E ST
LINCOLN, CA
ZIP 95648-861
Phone: (916) 645-1447
Fax: (916) 645-1447

The provider's authorized official is Kathrine M Varman .
The authorized official title is Md/owner and has the following contact phone number (916) 953-3812.

The enumeration date for this NPI number is 11/23/2021 and was last updated on 10/24/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1202D00000XIntegrative MedicineNo
2246Z00000XSpecialist/Technologist, OtherNo
3207N00000XDermatologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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