MEDICARE: SHENEEKRA W ADAMS

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	AU 1843	CA

General Provider Information

NPI Number	:	1477583474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHENEEKRA W ADAMS

Provider Business Mailing Address
First Line	:	6060 W OLYMPIC BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-4402
Country	:	US
Telephone Number	:	323-549-0567
Fax Number	:	323-549-0577

Provider Business Practice Location Address
First Line	:	6060 W OLYMPIC BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-4402
Country	:	US
Telephone Number	:	323-549-0567
Fax Number	:	323-549-0577

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	06/19/2008

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Directions to “ SHENEEKRA W ADAMS ” Practice Location

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