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Shannon Leigh Ippoliti, MD
Student in an Organized Health Care Education/Training Program in Orange, California
NPI 1841679982

Shannon Leigh Ippoliti is a Student in an Organized Health Care Education/Training Program based in Orange, CA. Shannon Leigh Ippoliti practices in Orange, CA and has the professional credentials of MD. The NPI Number for Shannon Leigh Ippoliti is 1841679982 and holds a License No. (California).

The current practice location address for Shannon Leigh Ippoliti is 505 S Main St, Orange, CA and can be reached out via phone at 714-456-5631 and via fax at 714-285-0389.

Location: 505 S Main St, Orange, CA, 92868-4509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841679982
Provider Name
Shannon Leigh Ippoliti
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
505 S Main St, Orange, CA, 92868-4509
Phone Number
714-456-5631
Fax Number
714-285-0389
Provider Enumeration Date
05/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
505 S Main St
City
Orange
State
California
Zip
92868-4509
Phone Number
714-456-5631
Fax Number
714-285-0389
person
Provider Business Mailing Address Details
Address
505 S Main St
City
Orange
State
California
Zip
92868-4509
Phone Number
714-456-5631
Fax Number
714-285-0389
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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