MEDICARE: SHARP HEALTHCARE

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
1	261QC1800X	Corporate Health Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HB-1178	OTHER	CA	MEDICARE

General Provider Information

NPI Number	:	1326170671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARP HEALTHCARE

Provider Business Mailing Address
First Line	:	8695 SPECTRUM CENTER BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1489
Country	:	US
Telephone Number	:	858-499-3025
Fax Number	:	858-499-3020

Provider Business Practice Location Address
First Line	:	8695 SPECTRUM CENTER BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1489
Country	:	US
Telephone Number	:	858-499-3025
Fax Number	:	858-499-3020

Authorized Official
Title or Position	:	PRESIDENT AND CEO SHARP HEALTHCARE
Name	:	CHRISTOPHER D. HOWARD
Credential	:
Telephone Number	:	858-499-4003

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	11/21/2019

Similar Medicare Providers

1912908104 — DIANE HILLMAN R.PH.
Practice Location Address:

8695 SPECTRUM CENTER BLVD
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92123-1489

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1295706919 — DR. FERNANDO F LEYVA M.D., M.S.
Practice Location Address:

8695 SPECTRUM CENTER BLVD
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Practice Fax:

1003873761 — DR. PETER HYUN-SOO KIM D.O.
Practice Location Address:

8695 SPECTRUM CENTER BLVD # 4004
SAN DIEGO, CA
92123-1489

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Practice Fax:

1629016316 — DR. LYNNE H MILGRAM M.D.
Practice Location Address:

8695 SPECTRUM CENTER BLVD
SAN DIEGO, CA
92123-1489

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1336280940 — SHARP COMMUNITY MEDICAL GROUP
Practice Location Address:

8695 SPECTRUM CENTER BLVD
SAN DIEGO, CA
92123-1489

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Practice Fax:

1265554786 — MS. PATRICIA L MCTAGUE MSN, CFNP
Practice Location Address:

8695 SPECTRUM CENTER BLVD , ROOM 119
SAN DIEGO, CA
92123-1489

Practice Phone: 858-499-5259
Practice Fax: 858-499-5317

Directions to “SHARP HEALTHCARE ” Practice Location

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