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NPI Code Detail

MEDICARE: KRISTINE SHAIR

MEDICARE: KRISTINE SHAIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA67352CA

General Provider Information

NPI Number : 1679469951
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE SHAIR
Provider Business Mailing Address
First Line : 3191 HAMPTON DR
Second Line :
City : WEST COVINA
State : CA
Zip : 91791-3487
Country : US
Telephone Number : 626-862-5789
Fax Number :
Provider Business Practice Location Address
First Line : 18200 YORBA LINDA BLVD STE 250
Second Line :
City : YORBA LINDA
State : CA
Zip : 92886-4044
Country : US
Telephone Number : 714-577-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2025
Last Update Date : 03/03/2026

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Directions to “ KRISTINE SHAIR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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