Provider Demographics
NPI:1851585913
Name:MONROE, SHAYNA ANGEL (LICENSED ACUPUNCTURI)
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:ANGEL
Last Name:MONROE
Suffix:
Gender:F
Credentials:LICENSED ACUPUNCTURI
Other - Prefix:
Other - First Name:SHANA
Other - Middle Name:
Other - Last Name:GELBARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24979 CONSTITUTION AVE.
Mailing Address - Street 2:1113
Mailing Address - City:STEVENSON RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91381
Mailing Address - Country:US
Mailing Address - Phone:818-281-9134
Mailing Address - Fax:818-954-0110
Practice Address - Street 1:24979 CONSTITUTION AVE.
Practice Address - Street 2:1113
Practice Address - City:STEVENSON RANCH
Practice Address - State:CA
Practice Address - Zip Code:91381
Practice Address - Country:US
Practice Address - Phone:818-281-9134
Practice Address - Fax:818-954-0110
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4082171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist