NPI 1710915038

Shahin Derboghossians, MD

Practitioner Urology Physician Glendale, CA

Practice location

Address: 116 S Louise St, Glendale, CA 91205
Phone: (818) 507-4340
Fax: (818) 507-4308
Mailing address: 116 S Louise St, Glendale, CA 91205-1025

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence A42661 (CA)

Other Urology providers in California →

Registry record

NPI: 1710915038
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2006
Record last updated: 17 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.