Healthcare Provider Details

I. General information

NPI: 1184343055
Provider Name (Legal Business Name): HEALTH ALLIANCE SOCAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E HARDY ST STE 425
INGLEWOOD CA
90301-4067
US

IV. Provider business mailing address

501 E HARDY ST STE 425
INGLEWOOD CA
90301-4067
US

V. Phone/Fax

Practice location:
  • Phone: 310-880-0151
  • Fax: 747-201-4700
Mailing address:
  • Phone: 310-880-0151
  • Fax: 747-201-4700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ANIL SHARMA
Title or Position: PRESIDENT
Credential: MD
Phone: 310-880-0151