Individual provider · Type 1 NPI

Shannon Leigh Ippoliti, MD

Student in an Organized Health Care Education/Training Program · Orange, CA

NPI number 1841679982 Active

Practice location

505 S Main St, Suite 525
Orange, CA 92868-4509

Call (714) 456-5631 Map

Fax (714) 285-0389

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1841679982

Shannon Leigh Ippoliti, MD's National Provider Identifier is 1841679982, issued on May 21, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange, CA. The record was last updated on May 21, 2015.