Shared Harvest Mycovidmd

LBN: Shared Harvest Foundation Inc
Shared Harvest Mycovidmd is an health care organization with primary practice located at 10000 Washington Blvd Ste 600 , Culver City CA 90232-2783. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Shared Harvest Foundation Inc can be contacted via phone (323) 880-0121, or through Afoh-Manin, Nanaefua via phone (917) 748-3832.

Contact Information

Primary practice address
10000 Washington Blvd Ste 600 Culver City CA 90232-2783
Phone: (323) 880-0121
Fax: (801) 665-5652
Website:
Map and Directions
Authorized official contact:
Name: Afoh-Manin, Nanaefua Doctor of Medicine (MD)
Phone: (917) 748-3832

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1932789757
LBN Legal business name Shared Harvest Foundation Inc
DBA Doing business as Shared Harvest Mycovidmd
Authorized official Afoh-Manin, Nanaefua Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2021
Last updated Aug 4th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932789757 NPPES
California MEDICAID B4082017

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