Healthcare Provider Details

I. General information

NPI: 1902052368
Provider Name (Legal Business Name): FRANKLIN MICHAEL CAMUSO HT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: FRANK M CAMUSO HT

II. Dates (important events)

Enumeration Date: 08/16/2008
Last Update Date: 08/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22221 S VERMONT AVE
TORRANCE CA
90502-2134
US

IV. Provider business mailing address

22221 S VERMONT AVE
TORRANCE CA
90502-2134
US

V. Phone/Fax

Practice location:
  • Phone: 310-781-1439
  • Fax: 559-684-0836
Mailing address:
  • Phone: 310-781-1439
  • Fax: 559-684-0836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHT 8284
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: