MEDICARE: SHARON ZIPORA HAYUN PA-C

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	363AM0700X	Medical Physician Assistant	PA22759	CA

General Provider Information

NPI Number	:	1972947711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON ZIPORA HAYUN PA-C

Provider Business Mailing Address
First Line	:	3300 DONA ROSA DR
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-4342
Country	:	US
Telephone Number	:	323-654-2439
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 DONA ROSA DR
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-4342
Country	:	US
Telephone Number	:	323-654-2439
Fax Number	:

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

Provider Enumeration Date	:	04/23/2013
Last Update Date	:	04/23/2013

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