Healthcare Provider Details

I. General information

NPI: 1871255984
Provider Name (Legal Business Name): REEM SHARHAN ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 N MADISON AVE
PASADENA CA
91101-1740
US

IV. Provider business mailing address

228 S OLIVE AVE UNIT A113
ALHAMBRA CA
91801-6325
US

V. Phone/Fax

Practice location:
  • Phone: 626-244-6428
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND1280
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: