Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shine Mmg Inc

Organization Family Medicine Physician · NPI 1053930248

Shine Mmg Inc is a Family Medicine Physician in Glendale, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

450 N Brand Blvd Ste 625A
Glendale, CA 91203-2347
Phone: (818) 745-0070
Fax: (818) 745-0065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1053930248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emil Golub — Cfo · (424) 204-6004
Other names Shine Mmg
NPI enumeratedApril 8, 2020
Last updated in NPPESApril 8, 2020
Certification dateApril 8, 2020
Mailing address450 N Brand Blvd Ste 625a, Glendale, CA 91203-2347

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