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Contact Information

SHERVIN SHAMTOUB, DPM
1401 SOUTH GRAND AVENUE.
LOS ANGELES, CA90015
 Phone: 818-416-2919
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SHERVIN SHAMTOUB · (Male)

NPI # 1194923326
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/10/2007
Last updated 05/21/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # E4734
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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