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Organization
SHINE MMG INC
Active
Organization
SHINE MMG INC
Active
Other names
Shine MMG
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL GOLUB (CFO)
(424) 204-6004
Entity
Organization
Contact information
Practice address
450 N BRAND BLVD STE 625A, GLENDALE, CA 91203-2347
(818) 745-0070
(818) 745-0065
Mailing address
450 N BRAND BLVD STE 625A, GLENDALE, CA 91203-2347
(818) 745-0070
(818) 745-0065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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