Healthcare Provider Details

I. General information

NPI: 1053669226
Provider Name (Legal Business Name): BENJAMIN SCHERER D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2012
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8540 S SEPULVEDA BLVD STE 106
LOS ANGELES CA
90045-3811
US

IV. Provider business mailing address

8540 S SEPULVEDA BLVD STE 106
LOS ANGELES CA
90045-3811
US

V. Phone/Fax

Practice location:
  • Phone: 310-641-3555
  • Fax:
Mailing address:
  • Phone: 310-993-4925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE5065
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: