Individual
SHARON MAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 644-4052
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A54038
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A54038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A540380
DHS PPIN
CA
Enumeration date
03/16/2006
Last updated
06/23/2011
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