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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

NPI # 1811207483
LBN Legal business name SHAHIN DERBOGHOSSIANS MD INC
Authorized official SHAHIN DERBOGHOSSIANS - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2010
Last updated 10/18/2010 - About 16 years ago
Identifiers
CA License # A42661
CA Medicaid 00A426610
Other A42661 MEDICAL LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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