MEDICARE: MISS TERESA JEAN SHARTEL MPH

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1235451857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS TERESA JEAN SHARTEL MPH

Provider Business Mailing Address
First Line	:	10221 COMPTON AVE STE 203
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90002-2805
Country	:	US
Telephone Number	:	213-385-5100
Fax Number	:	323-566-1638

Provider Business Practice Location Address
First Line	:	10221 COMPTON AVE STE 203
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90002-2805
Country	:	US
Telephone Number	:	213-385-5100
Fax Number	:	323-566-1638

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

Provider Enumeration Date	:	02/23/2010
Last Update Date	:	02/23/2010

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