Organization
LINA SHUHAIBAR MD, INC. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINA SHUHAIBAR MD (PRESIDENT)
(626) 905-6178
Entity
Organization
Contact information
Practice address
1041 W BADILLO ST, 103, COVINA, CA 91722-4194
(626) 339-0288
Mailing address
2694 E GARVEY AVE S, 22, WEST COVINA, CA 91791-2113
(626) 905-6178
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
A53782
CA
Other
Enumeration date
07/10/2007
Last updated
09/07/2007
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