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SHINE MMG
NPI 1053930248
Family Medicine in Glendale, CA

Active since April 08, 2020
450 N BRAND BLVD STE 625A, GLENDALE, CA 91203(818) 745-0070(818) 745-0065 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shine Mmg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHINE MMG (NPI 1053930248) is a healthcare organization registered as a family medicine in Glendale, California and active in the NPI registry since April 2020. The organization lists Emil Golub, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053930248
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHINE MMG INC
Location Address450 N BRAND BLVD STE 625AGlendale, CA 91203-2347
Mailing Address450 N Brand Blvd Ste 625aGlendale, CA 91203-2347 · (818) 745-0070 · Fax (818) 745-0065
Phone(818) 745-0070
Fax(818) 745-0065
Organization SubpartNo
Authorized OfficialEmil GolubCfo · (424) 204-6004
Enumeration DateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1053930248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
450 N BRAND BLVD STE 625A, Glendale, CA 91203
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Other Names 1

Doing Business AsShine Mmg

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shine Mmg Inc's NPI number?

The NPI number for Shine Mmg Inc is 1053930248. It was assigned to this organization in the NPPES registry on April 8, 2020. The provider is doing business as Shine Mmg.

Where is Shine Mmg Inc located?

Shine Mmg Inc is located at 450 N Brand Blvd Ste 625A, Glendale, CA 91203. The listed phone number is (818) 745-0070.

What is Shine Mmg Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Shine Mmg Inc was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.