Provider Demographics
NPI:1447246798
Name:DAVID SCHARF MD INC
Entity type:Organization
Organization Name:DAVID SCHARF MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHARF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-783-0036
Mailing Address - Street 1:4910 VAN NUYS BLVD
Mailing Address - Street 2:STE 302
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1715
Mailing Address - Country:US
Mailing Address - Phone:818-783-0036
Mailing Address - Fax:818-783-8817
Practice Address - Street 1:4910 VAN NUYS BLVD
Practice Address - Street 2:STE 302
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1715
Practice Address - Country:US
Practice Address - Phone:818-783-0036
Practice Address - Fax:818-783-8817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG582162084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG058216Medicaid
CAG58216Medicare ID - Type Unspecified
CAG058216Medicaid