Individual provider · Type 1 NPI

Shannon Wongvibulsin

Dermatology Physician · Orange, CA

NPI number 1144685447 Active

Practice location

101 The City Dr S
Orange, CA 92868-3201

Call (714) 456-8888 Map

Mailing address

733 Rutland Ave.
Baltimore, MD 21205-2109

Other practice locations

  • 200 Lothrop St, Pittsburgh, PA 15213-2536 · (412) 692-4942
  • 600 N Wolfe St, Baltimore, MD 21287-0005 · (410) 955-5000

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XA181956 (CA)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1144685447

Shannon Wongvibulsin's National Provider Identifier is 1144685447, issued on Dec 31, 2015. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Orange, CA. The record was last updated on Jul 1, 2026.