| |
8631 W 3rd St, Suite 312e, Los Angeles, CA 90048-5901 | |
(310) 652-4327 | |
(310) 652-7900 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist-hearing Aid Fitter |
Location | 8631 W 3rd St, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609326958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AU2857 (California) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | AU2857 (California) | Primary |
Provider Name | Michele L Sherman |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1093019481 PECOS PAC ID: 7911188297 Enrollment ID: I20121210000441 |
Provider Name | Eun Zee Kim |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1982189742 PECOS PAC ID: 4880933217 Enrollment ID: I20190301002438 |
Mailing Address | Practice Location Address |
---|---|
8631 W 3rd St, Suite 312e, Los Angeles, CA 90048-5901 Ph: (310) 652-4327 | 8631 W 3rd St, Suite 312e, Los Angeles, CA 90048-5901 Ph: (310) 652-4327 |