KIMBERLEY I SHINE M D INC
NPI 1376997221
Family Medicine in Pasadena, CA

Q: What is Kimberley I Shine M D Inc's NPI number?

The NPI number for Kimberley I Shine M D Inc is 1376997221. It was assigned to this organization in the NPPES registry on April 18, 2016.

Q: What is Kimberley I Shine M D Inc's specialty?

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

Active since April 18, 2016

960 E GREEN ST STE 206, PASADENA, CA 91106(626) 222-8636(626) 317-0192 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberley I Shine M D Inc NPPES

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

KIMBERLEY I SHINE M D INC (NPI 1376997221) is a healthcare organization registered as a family medicine in Pasadena, California and active in the NPI registry since April 2016. The organization lists Kimberley I Shine, Owner, as its authorized official.

NPPES Registry Identity

NPI1376997221

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKIMBERLEY I SHINE M D INC

Location Address960 E GREEN ST STE 206Pasadena, CA 91106-2401

Mailing Address960 E Green St Ste 206Pasadena, CA 91106-2401 · (626) 222-8636 · Fax (626) 317-0192

Phone(626) 222-8636

Fax(626) 317-0192

Organization SubpartNo

Authorized OfficialKimberley I ShineOwner · (626) 222-8636

Enumeration DateApril 18, 2016

Last NPPES UpdateJuly 15, 2024

NPPES CertifiedJuly 15, 2024

✔ NPI 1376997221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A76961

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.

960 E GREEN ST STE 206, Pasadena, CA 91106

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT E. REDMOND, D.C

Chiropractor (Independent Medical Examiner)