# SKILLED PROVIDER NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528913597
- **Authorized official:** DR. ANDRO SHAROBIEM MD (CEO)
- **Authorized official phone:** (949) 412-1020

## Contact information

- **Practice address:** 110 N LINCOLN AVE STE 100, CORONA, CA 92882-1853
- **Practice address phone:** (833) 867-8462
- **Mailing address:** 110 N LINCOLN AVE STE 100, CORONA, CA 92882-1853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2026
- **Last updated:** 03/03/2026