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Organization
SHINE HEALTHCARE INC.
Active
Organization
SHINE HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAFUL SARODE M.D. (CEO)
(562) 929-5000
Entity
Organization
Contact information
Practice address
12371 IMPERIAL HWY, NORWALK, CA 90650-3129
(562) 929-5000
(562) 375-6286
Mailing address
12371 IMPERIAL HWY, NORWALK, CA 90650-3129
(562) 929-5000
(562) 375-6286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A43383
CA
208000000X
Pediatrics Physician
Primary
A43383
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
A43383
CA
2080P0203X
Pediatric Critical Care Medicine Physician
A43383
CA
2080P0214X
Pediatric Pulmonology Physician
A43383
CA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
A43383
CA
208M00000X
Hospitalist Physician
A43383
CA
Other
Enumeration date
03/04/2011
Last updated
07/28/2012
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