MEDICARE: SHARON JAVA LEE DELAURA

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	225X00000X	Occupational Therapist	4861	CA

General Provider Information

NPI Number	:	1285587386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON JAVA LEE DELAURA

Provider Business Mailing Address
First Line	:	10748 STEPHON TER
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-5462
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2611 S ORANGE DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90016-3515
Country	:	US
Telephone Number	:	323-939-1138
Fax Number	:

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

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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