MEDICARE: DR. ARTIN SHAKHBANDARYAN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E5898	CA

General Provider Information

NPI Number	:	1477287316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTIN SHAKHBANDARYAN DPM

Provider Business Mailing Address
First Line	:	3030 W TEMPLE ST STE 106
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-4529
Country	:	US
Telephone Number	:	626-414-2609
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 W TEMPLE ST STE 106
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-4529
Country	:	US
Telephone Number	:	818-331-6161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2022
Last Update Date	:	08/17/2023

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