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Dr. Shannon Connolly, M.D.

Family Medicine in Westminster, CA. Individual provider (NPI-1).

NPI number1457677569
StatusActive
Last updated in NPPESDec 18, 2024

Details

NPI
1457677569
Entity type
Individual (NPI-1)
Name
Dr. Shannon Connolly
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2010
Certification date
Dec 18, 2024
Last updated
Dec 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA121107CAYes

Practice location

14372 Beach Blvd
Westminster, CA 92683-4578

Phone 714-922-4100

Mailing address

1920 Colorado Ave
Santa Monica, CA 90404-3414

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