Healthcare Provider Details

I. General information

NPI: 1275446692
Provider Name (Legal Business Name): SHARON H NA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 S HELIOTROPE AVE
MONROVIA CA
91016-2914
US

IV. Provider business mailing address

3356 CERRITOS AVE APT 252
LOS ALAMITOS CA
90720-2155
US

V. Phone/Fax

Practice location:
  • Phone: 626-408-9800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95041508
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: