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

Shannon Wongvibulsin

Individual provider Dermatology Physician · NPI 1144685447

Shannon Wongvibulsin is a Dermatology Physician in Orange, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 456-8888
Show map & directions

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

Additional practice locations (2)

  • 600 N Wolfe St, Baltimore, MD 21287-0005 — (410) 955-5000
  • 200 Lothrop St, Pittsburgh, PA 15213-2536 — (412) 692-4942

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A181956 (CA)

Record details

NPI number1144685447
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 31, 2015
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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