Healthcare Provider Details

I. General information

NPI: 1871309021
Provider Name (Legal Business Name): APARNA SHARMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15398 MAIN ST STE B
HESPERIA CA
92345-3391
US

IV. Provider business mailing address

PO BOX 2308
VICTORVILLE CA
92393-2308
US

V. Phone/Fax

Practice location:
  • Phone: 760-949-4118
  • Fax: 760-949-0987
Mailing address:
  • Phone: 760-949-4118
  • Fax: 760-949-0987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: APARNA SHARMA
Title or Position: OWNER
Credential: MD
Phone: 760-949-4118