National Provider Identifier Database

SHAHIN DERBOGHOSSIANS, MD – NPI #1710915038
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

SHAHIN DERBOGHOSSIANS, MD
116 S LOUISE ST
GLENDALE, CA91205
Phone: 818-507-4340
Fax: 818-507-4308
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for SHAHIN DERBOGHOSSIANS

NPI Number 1710915038
Credentials MD
Entity Individual
Enumeration date 06/28/2006
Last updated 01/17/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: A42661
  • CA Medicaid: 00A426610
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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