MEDICARE: DR. SYLVIA OSORIO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	G56557	CA

General Provider Information

NPI Number	:	1932159225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYLVIA OSORIO M.D.

Provider Business Mailing Address
First Line	:	4161 REDONDO BEACH BLVD
Second Line	:	SUITE 201
City	:	LAWNDALE
State	:	CA
Zip	:	90260-3340
Country	:	US
Telephone Number	:	310-214-8677
Fax Number	:	310-921-1718

Provider Business Practice Location Address
First Line	:	1045 W REDONDO BEACH BLVD
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90247-4128
Country	:	US
Telephone Number	:	310-352-4170
Fax Number	:	310-324-7956

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	03/07/2023

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