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

Shannon Ly

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235848268

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

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.

Fullerton, CA

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61877 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235848268
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 17, 2022
Last updated in NPPESFebruary 5, 2023
Certification dateFebruary 5, 2023

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