# LINA SHUHAIBAR MD, INC. A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316145550
- **Authorized official:** DR. LINA SHUHAIBAR MD (PRESIDENT)
- **Authorized official phone:** (626) 905-6178

## Contact information

- **Practice address:** 1041 W BADILLO ST, 103, COVINA, CA 91722-4194
- **Practice address phone:** (626) 339-0288
- **Mailing address:** 2694 E GARVEY AVE S, 22, WEST COVINA, CA 91791-2113
- **Mailing address phone:** (626) 905-6178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | A53782 | CA | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | A53782 | CA | — |
| 261QM2500X | Medical Specialty Clinic/Center | A53782 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 09/07/2007