| Shine Psychiatry Professional Nursing Corp. | |
|
14451 Chambers Rd Ste 110 Tustin CA 92780-6973 | |
| (650) 507-4826 | |
| (650) 396-7917 |
| Full Name | Shine Psychiatry Professional Nursing Corp. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 14451 Chambers Rd Ste 110, Tustin, California |
| Authorized Official Name and Position | Sahil Girish Mehta (CEO) |
| Authorized Official Contact | 7143378020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Psychiatry Professional Nursing Corp. 1054 Wingfoot St Placentia CA 92870-4444 Ph: (714) 337-8020 | Shine Psychiatry Professional Nursing Corp. 14451 Chambers Rd Ste 110 Tustin CA 92780-6973 Ph: (650) 507-4826 |
| NPI Number | 1053202028 |
|---|---|
| Provider Enumeration Date | 07/09/2025 |
| Last Update Date | 07/09/2025 |
| Certification Date | 07/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053202028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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