| Doctor Name: | DR. GARY JAMES SHIMA |
| NPI Number: | 1396808366 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G14742 |
| Business Practice Address: | 1529 Grand Avenue Suite B San Marcos, CA - 92078 |
| Business Phone Number: | 7604107300 |
| Business Fax Number: | 7604107301 |
| Mailing Address: | 1529 Grand Avenue, Suite B SAN MARCOS |
| State: | CA |
| Postal Code: | 92078 |
| Phone Number: | 7604107300 |
| Fax Number: | 7604107301 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 02/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G14742 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |