SHANNON E ANDERSON

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

Dr SHANNON E ANDERSON is a female medical professional, specializing in Emergency Medicine. She graduated in 2013.

Contact

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

25821 VERMONT AVE
HARBOR CITY
CA
907103518

Tel: 3103255111

SHANNON E ANDERSON Information

Npi 1376912618
Pac Id 7315223765
Professional Enrollment Id I20170419001189
Last Name ANDERSON
First Name SHANNON
Middle Name E
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty EMERGENCY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Group Practice Pac Id 6002729175
Number Of Group Practice Members 8118
Line 1 Street Address 25821 VERMONT AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HARBOR CITY
State CA
Zip Code 907103518
Phone Number 3103255111
Hospital Affiliation Ccn 1 050036
Hospital Affiliation Lbn 1 BAKERSFIELD MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 030071
Hospital Affiliation Lbn 2 FORT DEFIANCE INDIAN HOSPITAL
Hospital Affiliation Ccn 3 050411
Hospital Affiliation Lbn 3 KAISER FOUNDATION HOSPITAL - SOUTH BAY
Hospital Affiliation Ccn 4 050353
Hospital Affiliation Lbn 4 PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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