Search › California › 363LF0000X
Shannon Bennett-Gunderson
NPI 1073054334 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5717 Pacific Center Blvd Ste 200
San Diego, CA 92121 - Phone
- (858) 859-1188
- Clinicians at this address
- 22
Additional practice sites
- 7875 Highland Village Pl, San Diego, CA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California