Healthcare Provider Details

I. General information

NPI: 1548400138
Provider Name (Legal Business Name): JOSHUA MARC SHERMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 N CAMDEN DR STE 610
BEVERLY HILLS CA
90210-4416
US

IV. Provider business mailing address

433 N CAMDEN DR STE 610
BEVERLY HILLS CA
90210-4416
US

V. Phone/Fax

Practice location:
  • Phone: 424-655-2407
  • Fax:
Mailing address:
  • Phone: 424-655-2407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number251256
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA128226
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: