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Contact Information

BEN DJABOURIAN
143 E. ROWLAND ST. SUITE 2
COVINA, CA91723-3000
 Phone: 626-858-9460
 Fax: 626-858-9767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pedorthist

224L00000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Orthotics/Prosthetics Fitter

225000000X
 

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for BEN DJABOURIAN · (Male)

NPI Number 1073781886
Status Active
Credentials
Entity Individual
Enumeration date 02/14/2008
Last updated 07/24/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 0306
  • CA Medicaid DME03036F
  • CA Other 4974734 MEDICAID PIN
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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