Individual
DERENIK ESTEPANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048
(310) 786-7204
Mailing address
311 NORTH ROBERTSON BLVD, PMB 150, BEVERLY HILLS, CA 90211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
151787
CA
208M00000X
Hospitalist Physician
Primary
A151787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3232267556
—
CA
Enumeration date
04/01/2016
Last updated
09/30/2021
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