Healthcare Provider Details

I. General information

NPI: 1437739430
Provider Name (Legal Business Name): ANNA JUNE SHEEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 QUARRY RD RM 2206
PALO ALTO CA
94304-1419
US

IV. Provider business mailing address

14350 MERIDIAN PKWY # 2
RIVERSIDE CA
92518-3035
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-5511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA183703
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: