Organization
SHAHAN YACOUBIAN MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHAN V YACOUBIAN M.D. (PRESIDENT)
(818) 841-3936
Entity
Organization
Contact information
Practice address
2625 W ALAMEDA AVE STE 116, BURBANK, CA 91505-4815
(818) 841-3936
(818) 841-5974
Mailing address
2625 W ALAMEDA AVE STE 116, BURBANK, CA 91505-4815
(818) 841-3936
(818) 841-5974
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
A95385
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A953850
—
CA
Enumeration date
09/21/2006
Last updated
06/20/2016
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