Healthcare Provider Details
I. General information
NPI: 1003747601
Provider Name (Legal Business Name): SOUTH ASIAN NETWORK, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18173 PIONEER BLVD STE I
ARTESIA CA
90701-3986
US
IV. Provider business mailing address
18173 PIONEER BLVD STE I
ARTESIA CA
90701-3986
US
V. Phone/Fax
- Phone: 562-403-0488
- Fax:
- Phone: 562-403-0488
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHAKEEL
SYED
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 562-403-0488