Healthcare Provider Details

I. General information

NPI: 1053227868
Provider Name (Legal Business Name): LA ORTHOPEDICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 S BUENA VISTA ST STE 475
BURBANK CA
91505-4541
US

IV. Provider business mailing address

16032 VALLEY MEADOW PL
ENCINO CA
91436-3934
US

V. Phone/Fax

Practice location:
  • Phone: 818-322-0126
  • Fax:
Mailing address:
  • Phone: 818-395-4349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAHAB MAHBOUBIAN
Title or Position: PHYSICIAN
Credential: DO
Phone: 818-395-4349