Individual
ANGELA P. SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 233-0425
Mailing address
2099 FAIRBURN RD SW, ATLANTA, GA 30331-4812
(404) 344-0618
(404) 344-7810
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036661
GA
2084P0800X
Psychiatry Physician
Primary
C168597
CA
Other
Enumeration date
11/16/2006
Last updated
04/02/2025
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