Shine Mmg INC
NPI #1053930248 in Glendale, California
Provider Information
- NPI Number
- 1053930248
- Entity Type
- Organization
- Organization Name
- Shine Mmg INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 8, 2020
- Last Updated
- Apr 8, 2020
Practice Location
- Address
- 450 N BRAND BLVD STE 625A
- City
- Glendale
- State
- California
- ZIP Code
- 91203-2347
- Phone
- (818) 745-0070
Authorized Official
- Name
- EMIL GOLUB
- Title
- CFO
- Phone
- (424) 204-6004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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