Individual
PHOEBE PARK SHINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
13160 MINDANAO WAY STE 213, MARINA DEL REY, CA 90292-6358
(925) 282-1778
Mailing address
2114 ARTESIA BLVD, REDONDO BEACH, CA 90278-3014
(310) 392-8636
(310) 943-3521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
601300
CA
363LF0000X
Family Nurse Practitioner
18952
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
18952
CA
Other
Enumeration date
12/18/2006
Last updated
04/10/2026
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