Derboghosian Itutmazian, Rupen

Derboghosian Itutmazian, Rupen is an sole proprietor health care provider with primary practice located at 6812 Woodman Ave , Van Nuys CA 91405-4208. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Derboghosian Itutmazian, Rupen can be contacted via phone (818) 350-3451.

Contact Information

Primary practice address
6812 Woodman Ave Van Nuys CA 91405-4208
Phone: (818) 350-3451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 55226 California
Dental Providers / Dentist 122300000X 5411 Nevada
Dental Providers / Dentist 122300000X CDEN03106 Rhode Island
Dental Providers / Dentist 122300000X 03895 New Hampshire

Profile Details

NPI number 1699831065
LBN Legal business name Derboghosian Itutmazian, Rupen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Feb 25th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers