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NPI Code Detail

MEDICARE: SHERRY S. YOUNG AU.D.CCC-A

MEDICARE: SHERRY S. YOUNG AU.D.CCC-A
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
1237600000XAudiologist-Hearing Aid FitterAU2285CA
2237700000XHearing Instrument SpecialistHA5031CA

General Provider Information

NPI Number : 1114942547
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRY S. YOUNG AU.D.CCC-A
Provider Business Mailing Address
First Line : 2100 W 3RD ST
Second Line : STE 111
City : LOS ANGELES
State : CA
Zip : 90057-1944
Country : US
Telephone Number : 213-483-9930
Fax Number : 213-207-3223
Provider Business Practice Location Address
First Line : 2100 W 3RD ST
Second Line : STE 111
City : LOS ANGELES
State : CA
Zip : 90057-1944
Country : US
Telephone Number : 213-483-9930
Fax Number : 213-207-3223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 07/14/2014

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