Provider Demographics
NPI:1942634878
Name:BENJAMIN E. SCHERER, D.P.M, INC
Entity Type:Organization
Organization Name:BENJAMIN E. SCHERER, D.P.M, INC
Other - Org Name:FOOT AND ANKLE LA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHERER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:310-993-4925
Mailing Address - Street 1:1901 AVENUE OF THE STARS FL 11
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-6001
Mailing Address - Country:US
Mailing Address - Phone:310-993-4925
Mailing Address - Fax:
Practice Address - Street 1:8540 S SEPULVEDA BLVD STE 106
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-3811
Practice Address - Country:US
Practice Address - Phone:310-641-3555
Practice Address - Fax:310-337-7540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5065213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty