MEDICARE: CARRIE RITCHIE

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	237600000X	Audiologist-Hearing Aid Fitter	AU 2248	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	:	1548397169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE RITCHIE

Provider Business Mailing Address
First Line	:	3900 MAYETTE AVE
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-7227
Country	:	US
Telephone Number	:	310-295-7799
Fax Number	:	818-716-7224

Provider Business Practice Location Address
First Line	:	1141 W REDONDO BEACH BLVD STE 402
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90247-3582
Country	:	US
Telephone Number	:	310-329-8633
Fax Number	:	310-329-8636

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	12/08/2021

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Directions to “ CARRIE RITCHIE ” Practice Location

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