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

Shelley Yijy Phoun, OD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194188748

Shelley Yijy Phoun, OD is an Optometry in Los Angeles, California. Qualified in 2016, 10 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Partly verified

Some contact details are missing from the federal record.

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Los Angeles, CA

Additional practice locations (1)

  • 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 — (310) 478-3711

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 33515TLG (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194188748
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESNovember 29, 2021
Certification dateMay 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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