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SHAUN RYAN EGLY IDC
NPI 1710607494
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since September 01, 2022
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134(619) 532-5110 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shaun Ryan Egly Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAUN RYAN EGLY IDC (NPI 1710607494) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1710607494
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHAUN RYAN EGLYCredential: IDC
Location Address34101 FARENHOLT AVE BLDG 14San Diego, CA 92134-7000
Mailing Address34101 Farenholt Ave Bldg 14San Diego, CA 92134-7000 · (619) 532-5110
Phone(619) 532-5110
Sole ProprietorNo
Enumeration DateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
✔ NPI 1710607494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
34101 FARENHOLT AVE BLDG 14, San Diego, CA 92134
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL WILLIAM ASHLINE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-6195
MR. ROBERT LUND IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (864) 201-6478
JOHN DAVID MACLEOD
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (716) 955-9805
STEVEN LE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
WILLIAM ALLEN IRISH IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
APO, AP 92134
San Diego County (619) 532-6195
TIMOTHY JOHN RUANE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
OLIVIA KROHTA
Student in an Organized Health Care Education/Training Program
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
JARED MICHAEL O'BRIEN
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-7968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaun Egly's NPI number?

The NPI number for Shaun Egly is 1710607494. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Shaun Egly located?

Shaun Egly practices at 34101 Farenholt Ave Bldg 14, San Diego, CA 92134. The listed phone number is (619) 532-5110.

What is Shaun Egly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shaun Egly was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.