Notice: Function _load_textdomain_just_in_time was called incorrectly. Translation loading for the complianz-gdpr domain was triggered too early. This is usually an indicator for some code in the plugin or theme running too early. Translations should be loaded at the init action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /var/www/vhosts/calvivahealth.org/staging.calvivahealth.org/wp-includes/functions.php on line 6114
Provider Information - CalViva Health
Facebook
Youtube
Instagram
Keep Your Medi-Cal! Learn how to update your contact information.

Provider Information

Last Updated : Sep 5 2025 2:28 PM

Mike S Shin

Start a new search

Export Result | Print


City
Selma
Group
LASALLE MEDICAL ASSOCIATES - MADERA
Specialty
Otolaryngology
Last Name
Shin
First Name
Mike
Middle Name
S
Address
1041 Rose Ave.
State
CA
Zip Code
93662
Phone
(559)856-6090
Hours
Mon - Fri 8:00 AM - 6:00 PM Sat 8:00 AM - 12:00 PM
Gender
M
Title
M.D.
Physician ID
139591
Language 1
Korean
Language 2
Spanish
Extender 1 Last Name
Kelley
Extender 1 First Name
Kathleen
Extender 1 Middle Name
A
Extender 1 License Type
NP
Extender 2 Last Name
Caballero
Extender 2 First Name
Roxanna
Extender 2 Middle Name
A
Extender 2 License Type
NP
Section Number
4
County
FRESNO
Accepting New Patient
Yes
PPG NAME
LASALLE MEDICAL ASSOCIATES
PPG ID
MMA30
NPI Number
1992791495
Access Requirement
Limited
INT_BUILD_IND
IB
RESTROOM_IND
R
EXAMROOM_IND
E
License ID
A097516
Board Certified
Yes
Office Language
Spanish
Self Access Flag
Facility Site Database
Panel Status
Available by referral only
Afterhour Phone
(559) 856-6090
PHY CCT IND
Y
Show More

Start a new search.



Is any of the information above incorrect? Please use this online form to send us a correction or email directoryrequest@calvivahealth.org. You may also call 1-888-893-1569 TTY 711.