Provider Demographics
NPI:1992845606
Name:FOSTER, SEAN T (BS)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:T
Last Name:FOSTER
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Gender:M
Credentials:BS
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Mailing Address - Street 1:2500 WILSHIRE BLVD
Mailing Address - Street 2:704
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-4303
Mailing Address - Country:US
Mailing Address - Phone:213-639-2665
Mailing Address - Fax:213-389-1987
Practice Address - Street 1:2500 WILSHIRE BLVD
Practice Address - Street 2:704
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-4303
Practice Address - Country:US
Practice Address - Phone:213-639-2665
Practice Address - Fax:213-389-1987
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2013-06-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner