MEDICARE: STAR VIEW

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1063548998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAR VIEW

Provider Business Mailing Address
First Line	:	1579 W 51ST ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90062-2431
Country	:	US
Telephone Number	:	323-293-9330
Fax Number	:

Provider Business Practice Location Address
First Line	:	1085 WEST VICTORIA AVE.
Second Line	:
City	:	COMPTON
State	:	CA
Zip	:	90220
Country	:	US
Telephone Number	:	310-868-5379
Fax Number	:

Authorized Official
Title or Position	:	FACILITATOR
Name	:	MS. LATONYA MARIE CARTER
Credential	:
Telephone Number	:	323-293-9330

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	07/12/2007

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Directions to “STAR VIEW ” Practice Location

Language	Start Address	Practice Location

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