Dr. Shawn M Joseph
Optometrist, Pediatrics in Encino, CA. Individual provider (NPI-1).
NPI number1013457464
StatusActive
Last updated in NPPESJan 2, 2022
Details
- NPI
- 1013457464
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shawn M Joseph
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2017
- Certification date
- Jan 2, 2022
- Last updated
- Jan 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WP0200X | Optometrist, Pediatrics | 33802 | CA | Yes |
| 152W00000X | Optometrist | OPC5324 | FL | |
| 152WS0006X | Optometrist, Sports Vision | 33802 | CA | |
| 152WV0400X | Optometrist, Vision Therapy | OPT33802 | CA | |
| 152WV0400X | Optometrist, Vision Therapy | 33802 | CA |
Practice location
6345 Balboa Blvd Ste 250Encino, CA 91316-5236
Phone 818-344-3937
Mailing address
6345 Balboa Blvd Ste 250Encino, CA 91316-5236
Phone 818-344-3937 · Fax 818-344-1229
Other practice locations
2001 S Barrington Ave Ste 318
Los Angeles, CA 90025-5395
Los Angeles, CA 90025-5395
Phone 818-344-3937
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