Shoreline Wellness Multi

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SHORELINE WELLNESS MULTI

Doing business as

shoreline Wellness

Practice address

1360 W 6TH St Ste 165
San Pedro, CA 90732-3540

Phone

(424) 287-5555

Fax

(310) 872-5508

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Madhu Katakia, M.D.

Title

Medical Director

Phone

(424) 287-5555

Specialties & licenses 1

Addresses

Other names 1

• shoreline Wellness Doing business as

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1851759070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST STE 165",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323540",
            "telephone_number": "424-287-5555",
            "fax_number": "310-872-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST STE 165",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323540",
            "telephone_number": "424-287-5555",
            "fax_number": "310-872-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE WELLNESS MULTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "KATAKIA",
        "authorized_official_first_name": "MADHU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "424-287-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "shoreline Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherry Sonka-Maarek MD Inc
• Lisa Shibata
• Honoka Wendy Shiga
• Timothy Shin
• Blanca Shirale
• Jennifer Elizabeth Shortt, LCSW
• Robert Shrubb, RADT
• Kapil Shukla
• Paloma Shukla
• Siamak Stephen Marzban,M.D.,Inc

• Clinic/Center in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.