Shannon Ly
Shannon Ly is a Student in an Organized Health Care Education/Training Program in Fullerton, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
101 E Valencia Mesa DrFullerton, CA 92835-3809
Phone: (714) 651-8138
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA61877 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1235848268 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 17, 2022 |
| Last updated in NPPES | February 5, 2023 |
| Certification date | February 5, 2023 |
| Mailing address | Po Box 505, Temple City, CA 91780-0505 |
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Nidia Lopez Estrada
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Mr. Warren Lopez
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Delon Kong-Meng Ly
2575 Yorba Linda Blvd, Fullerton, CA 92831-1699 · (714) 872-5689
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Vivian Ly
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Nicole Lynch
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