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Search › California › 207N00000X

Shannon Wongvibulsin

NPI 1144685447 · on the registry since 2015

Practice

Address
101 The City Dr S
Orange, CA 92868
Phone
(714) 456-8888
Organisation at this address
Sodexo
Uc Irvine
Uc Regents
Uc Regents
Uc Regents
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,158

Additional practice sites

  • 200 Lothrop St, Pittsburgh, PA
  • 600 N Wolfe St, Baltimore, MD

Registry record

Primary taxonomy
207N00000X
207N00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-01

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