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NPI Code Detail

MEDICARE: DR. SHAHAN VAHE YACOUBIAN MD

MEDICARE:  DR. SHAHAN VAHE YACOUBIAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianA95385CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558331041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAHAN VAHE YACOUBIAN MD
Provider Business Mailing Address
First Line : 2625 W ALAMEDA AVE STE 116
Second Line :
City : BURBANK
State : CA
Zip : 91505-4815
Country : US
Telephone Number : 818-841-3936
Fax Number : 818-841-5974
Provider Business Practice Location Address
First Line : 2625 W ALAMEDA AVE STE 116
Second Line :
City : BURBANK
State : CA
Zip : 91505-4815
Country : US
Telephone Number : 818-841-3936
Fax Number : 818-841-5974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 07/30/2021

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Directions to “ DR. SHAHAN VAHE YACOUBIAN MD” Practice Location

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