Search › California › 101YS0200X
Shannon Tagney
NPI 1922946383 · on the registry since 2026
Practice
- Address
- 18730 Grand Ave
Lake Elsinore, CA 92530 - Phone
- (951) 253-7400
Registry record
- Primary taxonomy
- 101YS0200X
101YS0200X
- Also registered as
- 101YP2500X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-24
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