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Contact Information

SHAHIN DERBOGHOSSIANS, MD
116 S LOUISE ST
GLENDALE, CA91205
 Phone: 818-507-4340
 Fax: 818-507-4308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for SHAHIN DERBOGHOSSIANS · (Male)

NPI Number 1710915038
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2006
Last updated 01/17/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A42661
  • CA Medicaid 00A426610
Hospital affiliation(s)
  • GLENDALE MEMORIAL HOSPITAL & HEALTH CENTER - (Acute Care)
    1420 S CENTRAL AVE
    GLENDALE, CA 91204
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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