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Contact Information

SHAHIN DERBOGHOSSIANS MD INC
1030 S GLENDALE
301
GLENDALE, CA91205
 Phone: 818-507-4340
 Fax: 818-507-4348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for SHAHIN DERBOGHOSSIANS MD INC · (Female)

NPI Number 1811207483
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2010
Last updated 10/18/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A42661
  • CA Medicaid 00A426610
  • Other A42661 MEDICAL LICENSE
Hospital affiliation(s) Not Available
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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