Organization
ACHARYA AND SHARMA MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MENDOZA (FRONT OFFICE)
(714) 771-2800
Entity
Organization
Contact information
Practice address
1240 E CHAPMAN AVE, ORANGE, CA 92866-2217
(714) 771-2800
(714) 771-3200
Mailing address
1240 E CHAPMAN AVE, ORANGE, CA 92866-2217
(714) 771-2800
(714) 771-3200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084220
—
CA
01
—
YYY50103Y
BLUE SHIELD
CA
Enumeration date
09/13/2006
Last updated
08/22/2020
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