MEDICARE: MRS. SHARON J MACDUFFEE AU.D.

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	AU264	CA
2	231HA2500X	Assistive Technology Supplier Audiologist	HA2250	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457347445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON J MACDUFFEE AU.D.

Provider Business Mailing Address
First Line	:	8631 W 3RD ST
Second Line	:	SUITE 312E
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5901
Country	:	US
Telephone Number	:	310-652-4327
Fax Number	:	310-652-7900

Provider Business Practice Location Address
First Line	:	8631 W 3RD ST
Second Line	:	SUITE 312E
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5901
Country	:	US
Telephone Number	:	310-652-4327
Fax Number	:	310-652-7900

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

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	09/11/2025

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