Healthcare Provider Details

I. General information

NPI: 1811541915
Provider Name (Legal Business Name): STEVEN CARTER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2019
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4540 MICHIGAN AVE
LOS ANGELES CA
90022-1130
US

IV. Provider business mailing address

4540 MICHIGAN AVE
LOS ANGELES CA
90022-1130
US

V. Phone/Fax

Practice location:
  • Phone: 323-360-9853
  • Fax:
Mailing address:
  • Phone: 323-360-9853
  • Fax: 323-360-9856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU3921
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: