Shannon, Karen Child

Shannon, Karen Child is an individual health care provider with primary practice located at 25455 Barton Rd Ste 206A , Loma Linda CA 92354-3130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shannon, Karen Child can be contacted via phone (909) 558-6600.

Contact Information

Primary practice address
25455 Barton Rd Ste 206A Loma Linda CA 92354-3130
Phone: (909) 558-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G89216 California

Profile Details

NPI number 1669685079
LBN Legal business name Shannon, Karen Child
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Oct 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669685079 NPPES
New Hampshire MEDICAID 30201593

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