MEDICARE: DR. SHERIE CARNEGIE D O

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	207Q00000X	Family Medicine Physician	20A6691	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
2	954871483	OTHER	CA	BLUECROSS/BLUESHIELD

General Provider Information

NPI Number	:	1821013772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERIE CARNEGIE D O

Provider Business Mailing Address
First Line	:	8142 FIRESTONE BLVD
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90241-4231
Country	:	US
Telephone Number	:	562-869-8621
Fax Number	:	569-231-1339

Provider Business Practice Location Address
First Line	:	8142 FIRESTONE BLVD
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90241-4231
Country	:	US
Telephone Number	:	562-869-8621
Fax Number	:	569-231-1339

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	11/09/2009

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