MEDICARE: DR CAROLYN R TOWLER MD A MEDICAL CORPORATION

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	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1740413517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR CAROLYN R TOWLER MD A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	2520 W 6TH ST
Second Line	:	#107
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-3174
Country	:	US
Telephone Number	:	213-480-0072
Fax Number	:	213-480-0092

Provider Business Practice Location Address
First Line	:	2520 W 6TH ST
Second Line	:	#107
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-3174
Country	:	US
Telephone Number	:	213-480-0072
Fax Number	:	213-480-0092

Authorized Official
Title or Position	:	OWNER
Name	:	CAROLYN R TOWLER
Credential	:
Telephone Number	:	213-480-0072

Provider Enumeration Date	:	08/27/2009
Last Update Date	:	08/27/2009

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