Healthcare Provider Details

I. General information

NPI: 1588935894
Provider Name (Legal Business Name): SHERYL L. LEWIN M.D., MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2012
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23430 HAWTHORNE BLVD STE 120
TORRANCE CA
90505-4723
US

IV. Provider business mailing address

23430 HAWTHORNE BLVD STE 120
TORRANCE CA
90505-4723
US

V. Phone/Fax

Practice location:
  • Phone: 310-828-1414
  • Fax: 310-212-5001
Mailing address:
  • Phone: 310-828-1414
  • Fax: 310-212-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberA72249
License Number StateCA

VIII. Authorized Official

Name: SHERYL LEWIN
Title or Position: PRESIDENT
Credential: MD
Phone: 310-291-2078