Healthcare Provider Details

I. General information

NPI: 1194884031
Provider Name (Legal Business Name): SHARON ANN VOIGHT PAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 10/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1227 W 17TH ST SUITE 101
SANTA ANA CA
92706
US

IV. Provider business mailing address

16671 YORBA LINDA BLVD 210
YORBA LINDA CA
92886-2025
US

V. Phone/Fax

Practice location:
  • Phone: 714-500-0339
  • Fax: 714-500-0341
Mailing address:
  • Phone: 714-447-4800
  • Fax: 714-447-1098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberPC10156
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPC10156
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: