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:
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Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235225467 NPPES
California MEDICAID 00G489960

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