Organization
MARGARET M SHANNON, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET M SHANNON M.D. (OWNER)
(949) 646-2311
Entity
Organization
Contact information
Practice address
275 VICTORIA ST STE 1H, COSTA MESA, CA 92627-1906
(949) 646-2311
(949) 646-1064
Mailing address
275 VICTORIA ST STE 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
10/15/2010
Last updated
11/02/2010
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