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NPI Code Detail

MEDICARE: MR. SHERWIN A. BASIL AU.D

MEDICARE:  MR. SHERWIN A. BASIL  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
1231HA2400XAssistive Technology Practitioner AudiologistAU22CA
2231HA2500XAssistive Technology Supplier AudiologistAU22CA
3235Z00000XSpeech-Language PathologistSP1845CA
4237600000XAudiologist-Hearing Aid FitterAU22CA
5237700000XHearing Instrument SpecialistHA1140CA
6231H00000XAudiologistAU22CA

General Provider Information

NPI Number : 1558366567
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SHERWIN A. BASIL AU.D
Provider Business Mailing Address
First Line : 5220 CLARK AVE
Second Line : STE 100
City : LAKEWOOD
State : CA
Zip : 90712-2624
Country : US
Telephone Number : 562-439-9539
Fax Number :
Provider Business Practice Location Address
First Line : 5220 CLARK AVE
Second Line : STE 100
City : LAKEWOOD
State : CA
Zip : 90712-2624
Country : US
Telephone Number : 562-439-9539
Fax Number : 562-439-2232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/24/2020

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Directions to “ MR. SHERWIN A. BASIL AU.D” Practice Location

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