National Provider Identifier Database

SHAHIN DERBOGHOSSIANS MD INC
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 INC
1030 S GLENDALE
301
GLENDALE, CA91205
Phone: 818-507-4340
Fax: 818-507-4348
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for SHAHIN DERBOGHOSSIANS MD INC

NPI Number 1811207483
Legal business name
LBN
SHAHIN DERBOGHOSSIANS MD INC
Authorized official SHAHIN DERBOGHOSSIANS - (MD)
Entity Organization
Organization subpart No
Enumeration date 10/18/2010
Last updated 10/18/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A42661
  • CA Medicaid: 00A426610
  • Other: A42661 MEDICAL LICENSE

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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