Shining Stars

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 21934 Issued in CA

Legal business name

SHINING STARS

Practice address

17215 Studebaker Rd.
#180
Cerritos, CA 90703

Phone

(562) 704-6791

Fax

(562) 704-6783

NPI assigned

Jan 28, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julia Yi

Title

Owner, M.S./CCC-SLP

Phone

(562) 704-6791

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114385648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER RD.",
            "address_2": "#180",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "562-704-6791",
            "fax_number": "562-704-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER RD.",
            "address_2": "#180",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "562-704-6791",
            "fax_number": "562-704-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STARS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER, M.S./CCC-SLP",
        "authorized_official_telephone_number": "562-704-6791"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 21934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary M Sherman-Wicks, LCSW
• Steven Michael Sherman, MD
• Bruce Shiao
• Jessica Oh Kyung Shin
• Sunny H Shin, PHARM.D.
• Olivia Shipman
• Megan Shiroma, PA
• Stacey Shoemaker
• Taylor Short
• Shree Physical Therapy, PC

• Speech-Language Pathologist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.