Individual provider · Type 1 NPI

Shannon Ly, PA-C

Physician Assistant · Burbank, CA

NPI number 1235848268 Active

Practice location

3413 W Pacific Ave Ste 102
Burbank, CA 91505-1598

Mailing address

PO Box 505
Temple City, CA 91780-0505

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA61877 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1235848268

Shannon Ly, PA-C's National Provider Identifier is 1235848268, issued on Nov 17, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Burbank, CA. The record was last updated on Sep 25, 2026.