Healthcare Provider Details

I. General information

NPI: 1730874538
Provider Name (Legal Business Name): STEP BY STEP FOOT AND ANKLE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 BUENA VISTA ST STE 204
DUARTE CA
91010-1713
US

IV. Provider business mailing address

931 BUENA VISTA ST STE 204
DUARTE CA
91010-1713
US

V. Phone/Fax

Practice location:
  • Phone: 626-414-2609
  • Fax: 626-380-2738
Mailing address:
  • Phone: 626-414-2609
  • Fax: 626-380-2738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: ARTIN SHAKHBANDARYAN
Title or Position: OWNER/CEO
Credential: DPM
Phone: 818-331-6161