Healthcare Provider Details

I. General information

NPI: 1255263539
Provider Name (Legal Business Name): BONITA H SHARMA NGAN PPS SCHOOLPSYCHOLOGY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S RAMONA ST
SAN GABRIEL CA
91776-2398
US

IV. Provider business mailing address

611 N MARGUERITA AVE
ALHAMBRA CA
91801-1266
US

V. Phone/Fax

Practice location:
  • Phone: 626-943-6800
  • Fax:
Mailing address:
  • Phone: 626-943-6885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number260049111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: