Stephan V. Yacoubian, M.D., a Medical Corporation

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A77306 Issued in CA

Legal business name

STEPHAN V. YACOUBIAN, M.D., A MEDICAL CORPORATION

Practice address

2625 W Alameda Ave
Suite 116
Burbank, CA 91505-4806

Phone

(818) 841-3936

Fax

(818) 841-5947

NPI assigned

Aug 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephan Vahe Yacoubian, M.D.

Title

President

Phone

(818) 841-3936

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1407040744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "SUITE 116",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054806",
            "telephone_number": "818-841-3936",
            "fax_number": "818-841-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "SUITE 116",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054806",
            "telephone_number": "818-841-3936",
            "fax_number": "818-841-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHAN V. YACOUBIAN, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "YACOUBIAN",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "VAHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-841-3936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A77306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A773060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.