Healthcare Provider Details

I. General information

NPI: 1821456229
Provider Name (Legal Business Name): SHARON WINER M.D., M.P.H
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2016
Last Update Date: 02/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 BRIGHTON WAY SUITE #206
BEVERLY HILLS CA
90210-4714
US

IV. Provider business mailing address

PO BOX 241187
LOS ANGELES CA
90024-1187
US

V. Phone/Fax

Practice location:
  • Phone: 310-274-9100
  • Fax:
Mailing address:
  • Phone: 310-801-4648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberG039795
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberG039795
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: