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NPI Code Detail

MEDICARE: SHARP HEALTHCARE

MEDICARE: SHARP HEALTHCARE
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
1291U00000XClinical Medical LaboratoryCLF11700CA

General Provider Information

NPI Number : 1770550253
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHARP HEALTHCARE
Provider Business Mailing Address
First Line : 8695 SPECTRUM CENTER BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1489
Country : US
Telephone Number : 858-499-3027
Fax Number : 858-499-3020
Provider Business Practice Location Address
First Line : 1400 E PALOMAR ST
Second Line :
City : CHULA VISTA
State : CA
Zip : 91913-1800
Country : US
Telephone Number : 858-499-2777
Fax Number :
Authorized Official
Title or Position : CEO - SHARP REES-STEALY
Name : STACEY HROUNTAST
Credential :
Telephone Number : 858-262-6003
Provider Enumeration Date : 03/03/2006
Last Update Date : 02/27/2019

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Directions to “SHARP HEALTHCARE ” Practice Location

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