MEDICARE: DR. FARHEEN SHARIFF

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	122300000X	Dentist	55367	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548486707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARHEEN SHARIFF

Provider Business Mailing Address
First Line	:	2510 E GARFIELD AVE
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-5223
Country	:	US
Telephone Number	:	909-364-0030
Fax Number	:	714-571-3560

Provider Business Practice Location Address
First Line	:	12400 CENTRAL AVE
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-2603
Country	:	US
Telephone Number	:	909-364-0030
Fax Number	:	909-591-8779

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	07/09/2007

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Directions to “ DR. FARHEEN SHARIFF ” Practice Location

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