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SHAWN T. VAN ENOO D.P.M. A PROFESSIONAL CORPORATION NPI 1740512235


NPI Information

NPI: 1740512235
Provider Name: SHAWN T. VAN ENOO, D.P.M. A PROFESSIONAL CORPORATION
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
11911 ARTESIA BLVD
#103
CERRITOS, CA
ZIP 90703
Phone: (562) 402-2489
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SHAWN T. VAN ENOO, D.P.M. A PROFESSIONAL CORPORATION is a podiatrist in Cerritos, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SHAWN T. VAN ENOO, D.P.M. A PROFESSIONAL CORPORATION NPI is 1740512235. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11911 ARTESIA BLVD
#103
CERRITOS, CA
ZIP 90703-070
Phone: (562) 402-2489
Fax: (562) 809-7219

The provider's authorized official is Shawn T Van Enoo .
The authorized official title is President and has the following contact phone number (562) 402-2489.

The enumeration date for this NPI number is 2/8/2010 and was last updated on 12/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristE4322CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DL270AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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