MEDICARE: LINDSEY SEONG

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	231H00000X	Audiologist	3863	CA

General Provider Information

NPI Number	:	1023874070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY SEONG

Provider Business Mailing Address
First Line	:	1200 S FIGUEROA ST APT 1408
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-4446
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1127 WILSHIRE BLVD STE 1620
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-4007
Country	:	US
Telephone Number	:	213-353-7052
Fax Number	:

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

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	02/27/2024

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Directions to “ LINDSEY SEONG ” Practice Location

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