Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHINE FUNCTIONAL DERMATOLOGY
Active OrganizationSHINE FUNCTIONAL DERMATOLOGY is a Dermatology organization located in LINCOLN, California. NPI 1205593316 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LINCOLN, CA
Registration Details
- NPI Number
- 1205593316
- Provider Type
- Organization
- NPI Issued
- Nov 23, 2021 (4.7580767451822 yrs)
- Last Updated
- Oct 24, 2023
Practice Information
- Address
-
566 E STLINCOLN, CA, 956481861Browse CA providers · Browse ZIP 95648
- Phone
- 9166451447
- Fax
- 9166451447
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Specialist/Technologist, Surgical
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.