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

Marylou Aclan

Individual provider Family Medicine Physician · NPI 1881162147

Marylou Aclan is a Nurse Practitioner in Sylmar, California. Qualified in 2018, 8 years ago. Practices with Shine Mmg Inc, a 25-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

14400 Olive View Dr
Sylmar, CA 91342-1436
Phone: (747) 210-4324
Show map & directions

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

Additional practice locations (1)

  • 38656 Medical Center Dr Ste C, Palmdale, CA 93551-4483 — (661) 273-7100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95010201 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 95010201 (CA)

Record details

NPI number1881162147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2018
Last updated in NPPESJuly 30, 2021
Certification dateJuly 30, 2021
Mailing address27074 Hidaway Ave Unit 6, Canyon Country, CA 91351-4121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Shine Mmg Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Sylmar