| Kimberley I Shine M D Inc | |
|
960 E Green St Ste 206 Pasadena CA 91106-2401 | |
| (626) 222-8636 | |
| (626) 317-0192 |
| Full Name | Kimberley I Shine M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 960 E Green St Ste 206, Pasadena, California |
| Authorized Official Name and Position | Kimberley I Shine (OWNER) |
| Authorized Official Contact | 6262228636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberley I Shine M D Inc 960 E Green St Ste 206 Pasadena CA 91106-2401 Ph: (626) 222-8636 | Kimberley I Shine M D Inc 960 E Green St Ste 206 Pasadena CA 91106-2401 Ph: (626) 222-8636 |
| NPI Number | 1376997221 |
|---|---|
| Provider Enumeration Date | 04/18/2016 |
| Last Update Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376997221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A76961 (California) | Primary |
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