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Contact Information

SHINE REHAB LLC
614 N FREEMAN ST
OCEANSIDE, CA92054-2417
 Phone: 321-274-2745
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SHINE REHAB LLC

NPI Number 1093358657
LBN Legal business name SHINE REHAB LLC
Authorized official MATTHEW GRIFFIS - (PRINCIPAL)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2019
Last updated 02/12/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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