Individual
DR. MARGARET M SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
275 VICTORIA ST, SUITE 1H, COSTA MESA, CA 92627-1906
(949) 646-2311
(949) 646-1064
Mailing address
275 VICTORIA ST, SUITE 1H, COSTA MESA, CA 92627-1906
(949) 646-2311
(949) 646-1064
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G42251
CA
Other
Enumeration date
08/01/2006
Last updated
08/05/2010
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