Individual
SHANNON DIANA ROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 N HIGHLAND AVE, HOLLYWOOD, CA 90028-7902
(310) 220-7914
Mailing address
PO BOX 93313, LOS ANGELES, CA 90093-0313
(310) 220-7914
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
CA
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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