Individual
DEREK MARC DOBALIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3816 WOODRUFF AVE, STE # 307, LONG BEACH, CA 90808
(562) 420-7670
(562) 429-4064
Mailing address
3816 WOODRUFF AVE, STE # 307, LONG BEACH, CA 90808
(562) 420-7670
(562) 429-4064
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G48996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G489960
—
CA
Enumeration date
10/05/2006
Last updated
08/25/2010
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