Dr. Shawn Todd Van Enoo
Foot & Ankle Surgery
11911 Artesia Blvd 103
Cerritos
, California 90701-4070
Dr. Shawn Todd Van Enoo
Foot & Ankle Surgery
11911 Artesia Blvd 103
Cerritos
, California 90701-4070
(562) 809-7219
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Shawn Todd Van Enoo
- Po Box 111
- Artesia, CA
- Zip : 90702-0011
- Fax : (562) 809-7219
- Phone : (562) 402-2489
Second Address
- Dr. Shawn Todd Van Enoo
- 11911 Artesia Blvd 103
- Cerritos, CA
- Zip : 90701-4070
- Fax : (562) 809-7219
- Phone : (562) 402-2489
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | E4322 | CA |
National Provider Identifier
| NPI | 1073540688 |
|---|---|
| Provider Name | Dr. Shawn Todd Van Enoo |
| First Address | Artesia, CA 90702-0011 |
| Second Address | Cerritos, CA 90701-4070 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2006 |
| Last Update Date | 15/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U86981 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.