Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Michelle Sullivan

Individual provider Rehabilitation Practitioner · NPI 1619514239

Shannon Michelle Sullivan is a Rehabilitation Practitioner in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

679 S New Hampshire Ave
Los Angeles, CA 90005-1355
Phone: (626) 254-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1619514239
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 2, 2019
Last updated in NPPESDecember 20, 2019
Certification dateDecember 20, 2019

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