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NPI Code Detail

MEDICARE: DR. JOSEPH MATTHEW SHADPOUR DO

MEDICARE: DR. JOSEPH MATTHEW SHADPOUR DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20A13619CA

General Provider Information

NPI Number : 1437598349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH MATTHEW SHADPOUR DO
Provider Business Mailing Address
First Line : PO BOX 58311
Second Line :
City : LOS ANGELES
State : CA
Zip : 90058-0311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 58311
Second Line :
City : LOS ANGELES
State : CA
Zip : 90058-0311
Country : US
Telephone Number : 310-228-8484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2013
Last Update Date : 06/04/2025

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