MRS. SHANNON LY


Address: 455 E Columbia St, Suites 201 & 6, Long Beach, CA 90806-1620
Phone: 5629330400

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner 821092 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers SHANNON LY

NPI Name Taxonomy Address Enumeration
1447758388 Shannon Ly Behavior Technician 39 Tannery Rd, Dillsburg, PA 17019-9673 2018-01-25

Office Location

Street Address 455 E COLUMBIA ST
SUITES 201 & 6
City LONG BEACH
State CA
Zip Code 90806-1620

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

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

Competitor

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City LONG BEACH
Zip Code 90806

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Dataset Information

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.

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