Healthcare Provider Details

I. General information

NPI: 1265313969
Provider Name (Legal Business Name): SAN BERNARDINO COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2035 N D ST
SAN BERNARDINO CA
92405-3935
US

IV. Provider business mailing address

451 E VANDERBILT WAY STE 200
SAN BERNARDINO CA
92408-3614
US

V. Phone/Fax

Practice location:
  • Phone: 800-472-2321
  • Fax:
Mailing address:
  • Phone: 909-387-6625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SHARON WANG
Title or Position: HEALTH OFFICER
Credential: DO
Phone: 909-387-6218