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

Shane Wallin

Individual provider Medical Art Specialist/Technologist · NPI 1104282177

Shane Wallin is a Medical Art Specialist/Technologist in San Diego, California. Practices as a sole proprietor and works from 3 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2016

Practice location Address checks out

1968 Garnet Ave
San Diego, CA 92109-3555
Phone: (612) 214-1325
Show map & directions

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

Additional practice locations (2)

  • 3073 Jefferson St, Napa, CA 94558-4921 — (619) 942-9737
  • 4933 34th Ave S, Minneapolis, MN 55417-1503 — (619) 942-9737

Specialties & licences

Medical Art Specialist/Technologist (primary) Taxonomy 246ZA2600X · Licence 310143 (MN)

Record details

NPI number1104282177
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 6, 2016
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address1968 Garnet Ave, San Diego, CA 92109-3555

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