Kimberley I Shine M D Inc
Kimberley I Shine M D Inc is a Family Medicine Physician in Pasadena, California. Licensed in California. Registered with an NPI since 2016.
- Licensed in
- CA
- In the registry since
- 2016
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
960 E Green St Ste 206Pasadena, CA 91106-2401
Phone: (626) 222-8636
Fax: (626) 317-0192
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A76961 (CA) |
|---|
Record details
| NPI number | 1376997221 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kimberley Shine — Owner · (626) 222-8636 |
| NPI enumerated | April 18, 2016 |
| Last updated in NPPES | July 15, 2024 |
| Certification date | July 15, 2024 |
| Mailing address | 960 E Green St Ste 206, Pasadena, CA 91106-2401 |
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