Basic Information
Provider Information | |||||||||
NPI: | 1194884031 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | VOIGHT | ||||||||
FirstName: | SHARON | ||||||||
MiddleName: | ANN | ||||||||
NamePrefix: | MS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | PAC | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 16671 YORBA LINDA BLVD 210 | ||||||||
Address2: |   | ||||||||
City: | YORBA LINDA | ||||||||
State: | CA | ||||||||
PostalCode: | 928862025 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7144474800 | ||||||||
FaxNumber: | 7144471098 | ||||||||
Practice Location | |||||||||
Address1: | 1227 W 17TH ST | ||||||||
Address2: | SUITE 101 | ||||||||
City: | SANTA ANA | ||||||||
State: | CA | ||||||||
PostalCode: | 92706 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7145000339 | ||||||||
FaxNumber: | 7145000341 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 12/06/2006 | ||||||||
LastUpdateDate: | 10/19/2015 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | PC10156 | CA | N |   | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |   | 363A00000X | PC10156 | CA | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |   |
No ID Information.