| Shine Medical Of Ca, P.c. | |
|
325 S 1st St Ste 200 San Jose CA 95113-2835 | |
| (888) 380-2028 | |
| Not Available |
| Full Name | Shine Medical Of Ca, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 325 S 1st St Ste 200, San Jose, California |
| Authorized Official Name and Position | Clare Frances Boals Frye (SVP OF OPERATIONS) |
| Authorized Official Contact | 6166481196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Medical Of Ca, P.c. Po Box 360721 Pittsburgh PA 15251-6721 Ph: () - | Shine Medical Of Ca, P.c. 325 S 1st St Ste 200 San Jose CA 95113-2835 Ph: (888) 380-2028 |
| NPI Number | 1942935473 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942935473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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