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SHAHAN YACOUBIAN MEDICAL CORPORATION NPI 1336247238


NPI Information

NPI: 1336247238
Provider Name: SHAHAN YACOUBIAN MEDICAL CORPORATION
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Organization

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
2625 W ALAMEDA AVE STE 116
BURBANK, CA
ZIP 91505
Phone: (818) 841-3936
Get Directions

SHAHAN YACOUBIAN MEDICAL CORPORATION is an adult reconstructive orthopaedic surgery orthopaedic surgery in Burbank, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. SHAHAN YACOUBIAN MEDICAL CORPORATION NPI is 1336247238. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2625 W ALAMEDA AVE STE 116
BURBANK, CA
ZIP 91505-815
Phone: (818) 841-3936
Fax: (818) 841-5974

The provider's authorized official is Shahan V Yacoubian .
The authorized official title is President and has the following contact phone number (818) 841-3936.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 6/20/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryA95385CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W20117MEDICARE PINCALIFORNIA
200A953850MEDICAIDCALIFORNIA
35823730001MEDICARE NSC
47473690001MEDICARE NSCCALIFORNIA
5I37820MEDICARE UPINCALIFORNIA

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: 4/28/2024

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