| Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation | |
|
11911 Artesia Blvd, #103, Cerritos, CA 90703-4070 | |
| (562) 402-2489 | |
| (562) 809-7219 |
| Full Name | Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 11911 Artesia Blvd, Cerritos, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740512235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E4322 (California) | Primary |
| Provider Name | Shawn T Van Enoo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073540688 PECOS PAC ID: 2668517699 Enrollment ID: I20100302000761 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation 11911 Artesia Blvd Ste 103, Cerritos, CA 90701-4070 Ph: (562) 402-2489 | Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation 11911 Artesia Blvd, #103, Cerritos, CA 90703-4070 Ph: (562) 402-2489 |
Dr. Shawn Todd Van Enoo, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11911 Artesia Blvd 103, Cerritos, CA 90701 Phone: 562-402-2489 Fax: 562-809-7219 | |
Mai Kim Dan Truong, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17215 Studebaker Rd Ste 108, Cerritos, CA 90703 Phone: 310-750-4511 |