# SHARED HARVEST FOUNDATION INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SHARED HARVEST MYCOVIDMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932789757
- **Authorized official:** DR. NANAEFUA AFOH-MANIN MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (917) 748-3832

## Contact information

- **Practice address:** 10000 WASHINGTON BLVD STE 600, CULVER CITY, CA 90232-2783
- **Practice address phone:** (323) 880-0121
- **Practice address fax:** (801) 665-5652
- **Mailing address:** 23934 DECORAH RD, DIAMOND BAR, CA 91765-1407
- **Mailing address phone:** (917) 748-3832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2021
- **Last updated:** 08/04/2022