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
Fullerton, CANo coordinates on file. Search this address in Google Maps
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 |
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