Individual
SANAM SHARAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
15910 VENTURA BLVD STE 1510, ENCINO, CA 91436-2827
(310) 278-9171
Mailing address
10573 W PICO BLVD # 450, LOS ANGELES, CA 90064-2333
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22756
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA22756
PA LICENSE NUMBER
CA
01
—
PA67522
LICENSE
CA
Enumeration date
03/26/2013
Last updated
02/06/2026
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