Organization · Type 2 NPI

Shared Harvest Foundation Inc

Community Health Clinic/Center · Culver City, CA

NPI number 1932789757 Active

Practice location

10000 Washington Blvd Ste 600
Culver City, CA 90232-2783

Call (323) 880-0121 Map

Fax (801) 665-5652

Mailing address

23934 Decorah Rd
Diamond Bar, CA 91765-1407

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	None listed

Community Health Clinic/Center: Definition to come...

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NPI record

NPI: 1932789757
Entity type: Organization (Type 2)
Issued: Apr 14, 2021
Last updated: Aug 4, 2022
Status: Active

Other names

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Shared Harvest Mycovidmd · doing business as
Shared Harvest Mycovidmd · doing business as

Authorized official

Dr. Nanaefua Afoh-Manin, MD
Chief Medical Officer
(917) 748-3832

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About NPI 1932789757

Shared Harvest Foundation Inc's National Provider Identifier is 1932789757, issued on Apr 14, 2021. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Culver City, CA. The record was last updated on Aug 4, 2022.