Healthcare Provider Details

I. General information

NPI: 1548050214
Provider Name (Legal Business Name): ANMOL SHARMA M.B.B.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 W. ORANGE AVE
ANAHEIM CA
92804
US

IV. Provider business mailing address

3033 W. ORANGE AVE
ANAHEIM CA
92804
US

V. Phone/Fax

Practice location:
  • Phone: 714-827-3000
  • Fax:
Mailing address:
  • Phone: 714-827-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: