MEDICARE: DR. SHARONA SHABNAM HARIRI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A182485	CA
2	208M00000X	Hospitalist Physician	A182485	CA

General Provider Information

NPI Number	:	1235706466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARONA SHABNAM HARIRI MD

Provider Business Mailing Address
First Line	:	5767 W CENTURY BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	757 WESTWOOD PLZ STE 7501
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-3899
Country	:	US
Telephone Number	:	310-267-9643
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2021
Last Update Date	:	08/05/2025

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Directions to “ DR. SHARONA SHABNAM HARIRI MD” Practice Location

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