Dobalian, Derek Marc
Dobalian, Derek Marc is an individual health care provider with primary practice located at 3816 Woodruff Ave Ste # 307, Long Beach CA 90808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Dobalian, Derek Marc can be contacted via phone (562) 420-7670.Contact Information
Primary practice address
3816 Woodruff Ave Ste # 307
Long Beach CA 90808
Phone: (562) 420-7670
Fax: (562) 429-4064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G48996 | California |
Profile Details
| NPI number | 1235225467 |
|---|---|
| LBN Legal business name | Dobalian, Derek Marc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Aug 25th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235225467 | NPPES |
| California | MEDICAID | 00G489960 |
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