Individual
BEN DJABOURIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
224P00000X
Prosthetist
—
—
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
0306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4974734
MEDICAID PIN
CA
05
—
DME03036F
—
CA
Enumeration date
02/14/2008
Last updated
07/24/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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