Individual
VICTORIA DJABOURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 E ROWLAND ST, COVINA, CA 91723-3049
(626) 343-9261
Mailing address
153 E ROWLAND ST, COVINA, CA 91723-3049
(626) 858-9460
(626) 858-9767
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
CA
224900000X
Mastectomy Fitter
Primary
C36902
CA
224L00000X
Pedorthist
CPED4606
CA
224P00000X
Prosthetist
—
CA
225000000X
Orthotic Fitter
—
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
CA
335E00000X
Prosthetic/Orthotic Supplier
—
CA
Other
Enumeration date
02/23/2022
Last updated
11/14/2025
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