MRS. SHANNON LY (NPI# 1962895656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962895656 |
Entity Type | Individual |
Full Name | MRS. SHANNON LY |
Practice Address |
455 E Columbia St Suites 201 & 6 Long Beach CA 90806-1620 |
Practice Telephone | 5629330400 |
Practice Fax Number | 5629330487 |
Mailing Telephone | 5629330400 |
Mailing Fax Number | 5629330487 |
Enumeration Date | 2015-03-05 |
Last Update Date | 2015-03-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | 821092 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447758388 | Shannon Ly | Behavior Technician | 39 Tannery Rd, Dillsburg, PA 17019-9673 | 2018-01-25 |
Street Address |
455 E COLUMBIA ST SUITES 201 & 6 |
City | LONG BEACH |
State | CA |
Zip Code | 90806-1620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306942073 | Mark Dressner | Family Medicine | 455 E Columbia St, Suite 201-206, Long Beach, CA 90806-1620 | 2006-09-16 |
1528615614 | Michelle Comroe | Dentist | 455 E Columbia St, Long Beach, CA 90806-1620 | 2019-08-22 |
1659804391 | Arman Parsa | Dentist | 455 E Columbia St, Suite 32, Long Beach, CA 90806-1620 | 2017-04-10 |
1275065039 | Wesley Orianna Wong | Pediatrics | 455 E Columbia St, Long Beach, CA 90806-1620 | 2017-03-31 |
1528413903 | Jenny Kry | Nurse Practitioner | 455 E Columbia St, Long Beach, CA 90806-1620 | 2016-05-04 |
1962879684 | Antonia Valencia | Dental Assistant | 455 E Columbia St, Suite 32, Long Beach, CA 90806-1620 | 2015-08-28 |
1508233222 | Maria L. Negriete-bleazard | Dental Assistant | 455 E Columbia St, Suite 32, Long Beach, CA 90806-1620 | 2015-08-28 |
1053653782 | Long Beach Memorial Medical | Durable Medical Equipment & Medical Supplies | 455 E Columbia St, Long Beach, CA 90806 | 2013-03-20 |
1265793798 | Vouchmeng Sieng | Community Health Worker | 455 E Columbia St, 201 & 6, Long Beach, CA 90806-1620 | 2012-05-31 |
1396002390 | Kimberly Reigel Wada | Pediatrics | 455 E Columbia St, Suite 210, Long Beach, CA 90806-1620 | 2012-04-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
Find all providers in zip 90806 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801419239 | Region Home Therapy Corp | Rehabilitation Practitioner | 854 E Broadway Apt 3p, Long Beach, NY 11561-4731 | 2020-05-20 |
1104475896 | Margaret Tham | Rehabilitation Practitioner | 2201 E Anaheim St Ste 200, Long Beach, CA 90804-3411 | 2019-09-05 |
1255706560 | Sabrina Navarro | Rehabilitation Practitioner | 1501 Hughles Way, Suite 150, Long Beach, CA 90810 | 2015-12-11 |
1356786008 | Natalie Jayne Pierson | Rehabilitation Practitioner | 456 Elm Ave., Long Beach, CA 90802 | 2013-05-08 |
1801170972 | Christina Burton Tompkins | Rehabilitation Practitioner | 3918 E Mayfield St, Apartment A, Long Beach, CA 90804-4106 | 2011-10-06 |
1396059416 | Kimiko Merzouk | Rehabilitation Practitioner | 850 East Wardlow Rd, Long Beach, CA 90807 | 2010-07-30 |
1033431481 | Saundria C. Zomalt | Rehabilitation Practitioner | 6770 N Paramount Blvd, Unit #a, Long Beach, CA 90805-1902 | 2010-02-25 |
1134455488 | Gemma Tarape | Rehabilitation Practitioner | 2241 W Williams St, Long Beach, CA 90810-3652 | 2009-10-21 |
1649411547 | James Whitfield Bemis | Rehabilitation Practitioner | 814 Atlantic Ave, #303, Long Beach, CA 90813-4547 | 2009-03-23 |
1275773673 | Armida Cortez | Rehabilitation Practitioner | 3391 Pasadena Ave, Long Beach, CA 90807-4521 | 2009-02-24 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90806 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.