Healthcare Provider Details

I. General information

NPI: 1467369074
Provider Name (Legal Business Name): SHAWN D MCGEE II
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 MILL STREET
LOYALTON CA
96118
US

IV. Provider business mailing address

PO BOX 265
LOYALTON CA
96118-0265
US

V. Phone/Fax

Practice location:
  • Phone: 530-993-6788
  • Fax: 530-993-1003
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: