Provider Demographics
NPI:1235477910
Name:SHARIF, ELHAM (MSPO, CPO, CPED)
Entity type:Individual
Prefix:MRS
First Name:ELHAM
Middle Name:
Last Name:SHARIF
Suffix:
Gender:F
Credentials:MSPO, CPO, CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 SEQUOIA TREE LN
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2227
Mailing Address - Country:US
Mailing Address - Phone:949-412-2633
Mailing Address - Fax:949-266-8182
Practice Address - Street 1:2755 BRISTOL ST STE 110
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-5985
Practice Address - Country:US
Practice Address - Phone:949-455-0404
Practice Address - Fax:949-266-8182
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1744P3200X, 332B00000X, 332BC3200X
CACPO05605222Z00000X, 224P00000X
CPED4123224L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment