Provider Demographics
NPI:1902052368
Name:CAMUSO, FRANKLIN MICHAEL (HT)
Entity Type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:MICHAEL
Last Name:CAMUSO
Suffix:
Gender:M
Credentials:HT
Other - Prefix:MR
Other - First Name:FRANK
Other - Middle Name:M
Other - Last Name:CAMUSO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HT
Mailing Address - Street 1:22221 S VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2134
Mailing Address - Country:US
Mailing Address - Phone:310-781-1439
Mailing Address - Fax:559-684-0836
Practice Address - Street 1:22221 S VERMONT AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2134
Practice Address - Country:US
Practice Address - Phone:310-781-1439
Practice Address - Fax:559-684-0836
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-16
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHT 8284237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHT 8421OtherSTATE OF CA HEARING AID DISPENSERS BUREAU