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NPI Code Detail

MEDICARE: SABRINA SHIN

MEDICARE: SABRINA SHIN
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
1103K00000XBehavior Analyst1-21-54444CA

General Provider Information

NPI Number : 1063914356
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA SHIN
Provider Business Mailing Address
First Line : 37829 RAINBOW DR
Second Line :
City : MURRIETA
State : CA
Zip : 92563-2750
Country : US
Telephone Number : 760-639-8412
Fax Number :
Provider Business Practice Location Address
First Line : 32326 CLINTON KEITH RD STE 201
Second Line :
City : WILDOMAR
State : CA
Zip : 92595-7317
Country : US
Telephone Number : 858-264-5858
Fax Number : 858-649-6012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2018
Last Update Date : 10/08/2025

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Directions to “ SABRINA SHIN ” Practice Location

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