Healthcare Provider Details

I. General information

NPI: 1538562640
Provider Name (Legal Business Name): SINA CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2014
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14130 CULVER DR STE D
IRVINE CA
92604-0321
US

IV. Provider business mailing address

14130 CULVER DR STE D
IRVINE CA
92604-0321
US

V. Phone/Fax

Practice location:
  • Phone: 949-651-1111
  • Fax: 949-751-1200
Mailing address:
  • Phone: 949-651-1111
  • Fax: 949-751-1200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHY52055
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SHAHIN SHARIFI
Title or Position: PHARMACIST/OWNER
Credential:
Phone: 949-320-3317