Healthcare Provider Details

I. General information

NPI: 1487496600
Provider Name (Legal Business Name): ASHIKA SHARMA, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E YORBA LINDA BLVD STE 5
PLACENTIA CA
92870-3006
US

IV. Provider business mailing address

3831 ZAHARIAS RDG
YORBA LINDA CA
92886-7028
US

V. Phone/Fax

Practice location:
  • Phone: 714-274-6733
  • Fax: 714-352-4209
Mailing address:
  • Phone: 949-573-5960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080S0010X
TaxonomyPediatric Sports Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHIKA SHARMA
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 949-573-5960