Individual
DR. SHAWN M JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6345 BALBOA BLVD STE 250, ENCINO, CA 91316-5236
(818) 344-3937
Mailing address
6345 BALBOA BLVD STE 250, ENCINO, CA 91316-5236
(818) 344-3937
(818) 344-1229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC5324
FL
152WP0200X
Pediatric Optometrist
Primary
33802
CA
152WS0006X
Sports Vision Optometrist
33802
CA
152WV0400X
Vision Therapy Optometrist
33802
CA
152WV0400X
Vision Therapy Optometrist
OPT33802
CA
Other
Enumeration date
03/06/2017
Last updated
01/02/2022
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