BEN DJABOURIAN NPI 1073781886

NPI Information

NPI: 1073781886
Provider Name: BEN DJABOURIAN
Classification: Pedorthist - 224L00000X
Entity Type: Individual
Address: 143 E. ROWLAND ST. SUITE 2
COVINA, CA
ZIP 91723
Phone: (626) 858-9460

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NPI Details

Ben Djabourian is a pedorthist in Covina, CA. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. Ben Djabourian NPI is 1073781886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

143 E. ROWLAND ST. SUITE 2
COVINA, CA
ZIP 91723-000
Phone: (626) 858-9460
Fax: (626) 858-9767

The enumeration date for this NPI number is 2/14/2008 and was last updated on 7/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	224P00000X	Prosthetist			No
2	225000000X	Orthotic Fitter			No
3	332B00000X	Durable Medical Equipment & Medical Supplies	0306	CALIFORNIA	No
4	224L00000X	Pedorthist			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4974734	OTHER	CALIFORNIA	MEDICAID PIN
2	DME03036F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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