Organization
DERDERYAN MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMOND VARUZHAN DERDERYAN M.D (PRESIDENT/OWNER)
(646) 552-1547
Entity
Organization
Contact information
Practice address
4955 VAN NUYS BLVD STE 308, SHERMAN OAKS, CA 91403-1811
(646) 552-1547
Mailing address
4955 VAN NUYS BLVD STE 308, SHERMAN OAKS, CA 91403-1811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
02/07/2021
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