Healthcare Provider Details

I. General information

NPI: 1801328109
Provider Name (Legal Business Name): CHORBAJIAN MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S BUENA VISTA ST
BURBANK CA
91505-4809
US

IV. Provider business mailing address

2325 W VICTORY BLVD STE 1
BURBANK CA
91506-1226
US

V. Phone/Fax

Practice location:
  • Phone: 818-847-4010
  • Fax: 818-847-4004
Mailing address:
  • Phone: 818-848-8891
  • Fax: 818-848-8892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAGHIG R CHORBAJIAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 818-848-8891