DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ANGELA P. SHANNON M.D.

MEDICARE: ANGELA P. SHANNON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician036661GA
22084P0800XPsychiatry PhysicianC168597CA

General Provider Information

NPI Number : 1285707455
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA P. SHANNON M.D.
Provider Business Mailing Address
First Line : 2099 FAIRBURN RD SW
Second Line :
City : ATLANTA
State : GA
Zip : 30331-4812
Country : US
Telephone Number : 404-344-0618
Fax Number : 404-344-7810
Provider Business Practice Location Address
First Line : 4211 AVALON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-5622
Country : US
Telephone Number : 323-233-0425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 04/02/2025

Similar Medicare Providers

1669228128 — REANNA BENTON
Practice Location Address:
4211 AVALON BLVD
LOS ANGELES, CA
90011-5622
Practice Phone: 323-233-0425
Practice Fax: 323-866-1881
1669411369 — GREGORY ALBRECHT
Practice Location Address:
4211 AVALON BLVD
LOS ANGELES, CA
90011-5622
Practice Phone: 954-559-8608
Practice Fax:
1316034671 — DR. SOHINI PARIKH M.D
Practice Location Address:
4211 AVALON BLVD
LOS ANGELES, CA
90011-5622
Practice Phone: 323-233-0425
Practice Fax: 323-432-5186
1184774507 — KEDREN ACUTE PSYCHIATRIC HOSPITAL
Practice Location Address:
4211 AVALON BLVD , SUITE 2
LOS ANGELES, CA
90011-5622
Practice Phone: 323-432-5183
Practice Fax: 323-231-9414
1629119557 — PATRICIA L RUSSELL LCSW
Practice Location Address:
4211 AVALON BLVD
LOS ANGELES, CA
90011-5622
Practice Phone: 323-432-5185
Practice Fax: 323-432-5086
1609903921 — MRS. SONIA JOHNSON
Practice Location Address:
4211 AVALON BLVD
LOS ANGELES, CA
90011-5622
Practice Phone: 323-432-5185
Practice Fax: 323-432-5086

Directions to “ ANGELA P. SHANNON M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.