Individual provider · NPI-1

Shannon Burrell

Technician, Attendant Care Provider · Los Angeles, CA

NPI number1205759255
StatusActive
Last updated in NPPESAug 4, 2026

Details

NPI
1205759255
Entity type
Individual (NPI-1)
Name
Shannon Burrell
Sex
Female
Sole proprietor
No
Enumeration date
Aug 4, 2026
Certification date
Aug 4, 2026
Last updated
Aug 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider–CAYes

Practice location

1827 E 51st St # 417
Los Angeles, CA 90058-1906

Phone 213-479-5944

Mailing address

1827 E 51st St # 417
Los Angeles, CA 90058-1906

Phone 213-479-5944

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