Individual
SHARON TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SUNSET BLVD # 78, LOS ANGELES, CA 90027-6062
(323) 361-5924
Mailing address
4650 W SUNSET BLVD # 78, LOS ANGELES, CA 90027-6062
(323) 361-5924
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A124634
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
A124634
CA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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