Organization
STEPHAN V. YACOUBIAN, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHAN VAHE YACOUBIAN M.D. (PRESIDENT)
(818) 841-3936
Entity
Organization
Contact information
Practice address
2625 W ALAMEDA AVE, SUITE 116, BURBANK, CA 91505-4806
(818) 841-3936
(818) 841-5947
Mailing address
2625 W ALAMEDA AVE, SUITE 116, BURBANK, CA 91505-4806
(818) 841-3936
(818) 841-5947
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A77306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A773060
—
CA
Enumeration date
08/29/2007
Last updated
06/20/2016
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