| |
5220 Clark Ave, Suite 100, Lakewood, CA 90712-2624 | |
(562) 439-4539 | |
(562) 439-2232 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 5220 Clark Ave, Lakewood, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598854846 | NPI | - | NPPES |
ZZZ79958Z | Other | CA | MEDI-CAL GROUP NUMBER |
Provider Name | Sherwin A Basil |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1558366567 PECOS PAC ID: 7911986807 Enrollment ID: I20040715001418 |
Provider Name | Allison Roberts |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1427497460 PECOS PAC ID: 6608207154 Enrollment ID: I20200516000054 |
Mailing Address | Practice Location Address |
---|---|
5220 Clark Ave, Suite 100, Lakewood, CA 90712-2624 Ph: (562) 439-4539 | 5220 Clark Ave, Suite 100, Lakewood, CA 90712-2624 Ph: (562) 439-4539 |
Elizabeth Rae Hawkins, M.A, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5419 Dunrobin Ave, Lakewood, CA 90713 Phone: 562-867-4654 | |
Ilanit Marzouk, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3650 South St, Suite 208, Lakewood, CA 90712 Phone: 562-790-8403 | |
Mr. Sherwin A. Basil, AU.D Audiologist Medicare: Medicare Enrolled Practice Location: 5220 Clark Ave, Ste 100, Lakewood, CA 90712 Phone: 562-439-9539 Fax: 562-439-2232 |