Healthcare Provider Details

I. General information

NPI: 1902568280
Provider Name (Legal Business Name): SHEBA OPTIMUM CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2815 E CHEVY CHASE DR
GLENDALE CA
91206-1902
US

IV. Provider business mailing address

2815 E CHEVY CHASE DR
GLENDALE CA
91206-1902
US

V. Phone/Fax

Practice location:
  • Phone: 818-913-1140
  • Fax:
Mailing address:
  • Phone: 818-913-1140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: RABI U ALAM
Title or Position: PRESIDENT
Credential: MD
Phone: 818-913-1140