Healthcare Provider Details

I. General information

NPI: 1851218358
Provider Name (Legal Business Name): SHAE LYNN TONN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16490 PASEO DEL SUR STE 115
SAN DIEGO CA
92127-4203
US

IV. Provider business mailing address

16490 PASEO DEL SUR STE 115
SAN DIEGO CA
92127-4203
US

V. Phone/Fax

Practice location:
  • Phone: 858-524-1091
  • Fax:
Mailing address:
  • Phone: 858-524-1091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number37652
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: