Organization
SHERVIN SHAMTOUB D.P.M. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERVIN SHAMTOUB D.P.M. (PRESIDENT)
(818) 416-2919
Entity
Organization
Contact information
Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015
(818) 416-2919
Mailing address
5632 VAN NUYS BLVD UNIT 1527, SHERMAN OAKS, CA 91401-4602
(818) 416-2919
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4734
CA
Other
Enumeration date
06/17/2013
Last updated
05/21/2020
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