=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053227868
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LA ORTHOPEDICS, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/21/2026
-----------------------------------------------------
Last Update Date | 08/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 191 S BUENA VISTA ST STE 475
-----------------------------------------------------
City | BURBANK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91505-4541
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-322-0126
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16032 VALLEY MEADOW PL
-----------------------------------------------------
City | ENCINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91436-3934
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-395-4349
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | DR. SHAHAB MAHBOUBIAN
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 818-395-4349
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------