# SHERVIN SHAMTOUB D.P.M. INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700225315
- **Authorized official:** DR. SHERVIN SHAMTOUB D.P.M. (PRESIDENT)
- **Authorized official phone:** (818) 416-2919

## Contact information

- **Practice address:** 1401 S GRAND AVE, LOS ANGELES, CA 90015
- **Practice address phone:** (818) 416-2919
- **Mailing address:** 5632 VAN NUYS BLVD UNIT 1527, SHERMAN OAKS, CA 91401-4602
- **Mailing address phone:** (818) 416-2919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4734 | CA | Yes |

## Other

- **Enumeration date:** 06/17/2013
- **Last updated:** 05/21/2020