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Search › California › 172V00000X

Shannon Thai

NPI 1649903790 · on the registry since 2022 · sole proprietor

Practice

Address
3455 Percy St
Los Angeles, CA 90023
Phone
(323) 268-2100
Organisation at this address
Gateways Percy Village
Los Angeles Christian Health Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
51

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California