Shawn T. Van Enoo, D.p.m. A Professional Corporation | |
11911 Artesia Blvd, #103, Cerritos, CA 90703-4070 | |
(562) 402-2489 | |
(562) 809-7219 |
Full Name | Shawn T. Van Enoo, D.p.m. A Professional Corporation |
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Type | Facility |
Speciality | Podiatrist |
Location | 11911 Artesia Blvd, Cerritos, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740512235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | E4322 (California) | Primary |
Provider Name | Shawn T Van Enoo |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1073540688 PECOS PAC ID: 2668517699 Enrollment ID: I20100302000761 |
Mailing Address | Practice Location Address |
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Shawn T. Van Enoo, D.p.m. A Professional Corporation 11911 Artesia Blvd, #103, Cerritos, CA 90703-4070 Ph: (562) 402-2489 | Shawn T. Van Enoo, D.p.m. A Professional Corporation 11911 Artesia Blvd, #103, Cerritos, CA 90703-4070 Ph: (562) 402-2489 |
Dr. Shawn Todd Van Enoo, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11911 Artesia Blvd 103, Cerritos, CA 90701 Phone: 562-402-2489 Fax: 562-809-7219 | |
Maijala Podiatry Corporation Podiatrist Medicare: Medicare Enrolled Practice Location: 11911 Artesia Blvd Ste 103, Cerritos, CA 90701 Phone: 156-240-2248 | |
Brandon Charles Maijala, Podiatrist Medicare: Medicare Enrolled Practice Location: 11911 Artesia Blvd Ste 103, Cerritos, CA 90701 Phone: 562-402-2489 | |
Mai Kim Dan Truong, D.P.M Podiatrist Medicare: Medicare Enrolled Practice Location: 17215 Studebaker Rd Ste 108, Cerritos, CA 90703 Phone: 310-750-4511 |