Healthcare Provider Details

I. General information

NPI: 1497528764
Provider Name (Legal Business Name): NATALIE EMMA SHENG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 W BROADWAY STE 450
GLENDALE CA
91204-1366
US

IV. Provider business mailing address

620 SANTA CLARA AVE APT 1
ALAMEDA CA
94501-3352
US

V. Phone/Fax

Practice location:
  • Phone: 818-539-9945
  • Fax:
Mailing address:
  • Phone: 626-419-5069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number25534
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: