Provider Demographics
NPI:1467621995
Name:MCGARRITY, SHARON SHAMBRAY (DO)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:SHAMBRAY
Last Name:MCGARRITY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 SANTA ROSALIA DR
Mailing Address - Street 2:STE 101
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90008-3627
Mailing Address - Country:US
Mailing Address - Phone:323-294-1160
Mailing Address - Fax:323-294-8191
Practice Address - Street 1:3750 SANTA ROSALIA DR
Practice Address - Street 2:STE 101
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90008-3627
Practice Address - Country:US
Practice Address - Phone:323-294-1160
Practice Address - Fax:323-294-8191
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A4473207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX44730Medicaid
CAW20A4473AMedicare PIN
CA00AX44730Medicaid