Individual
DR. STEPHAN VAHE YACOUBIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2625 W ALAMEDA AVE, STE 116, BURBANK, CA 91505-4806
(818) 841-3936
(818) 841-5974
Mailing address
2625 W ALAMEDA AVE, STE 116, BURBANK, CA 91505-4806
(818) 841-3936
(818) 841-5974
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A77306
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A77306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A773060
—
CA
Enumeration date
10/31/2005
Last updated
02/11/2022
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