Individual
MICHAEL J. SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
4911 WARNER AVE # 217, HUNTINGTON BEACH, CA 92649-5177
(714) 465-9578
(714) 465-9857
Mailing address
4911 WARNER AVE # 217, HUNTINGTON BEACH, CA 92649-5177
(714) 465-9578
(714) 465-9857
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA-1128
CA
Other
Enumeration date
11/17/2016
Last updated
03/27/2017
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