Provider Demographics
NPI:1548486707
Name:SHARIFF, FARHEEN
Entity type:Individual
Prefix:DR
First Name:FARHEEN
Middle Name:
Last Name:SHARIFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 E GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-5223
Mailing Address - Country:US
Mailing Address - Phone:909-364-0030
Mailing Address - Fax:714-571-3560
Practice Address - Street 1:12400 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2603
Practice Address - Country:US
Practice Address - Phone:909-364-0030
Practice Address - Fax:909-591-8779
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55367122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD55367Medicaid