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Ben Djabourian
Pedorthist in Covina, California
NPI 1073781886

Ben Djabourian is a Pedorthist based in Covina, CA. Ben Djabourian practices in Covina, CA. The NPI Number for Ben Djabourian is 1073781886 and holds a License No. (California).

The current practice location address for Ben Djabourian is 143 E. Rowland St. Suite 2, Covina, CA and can be reached out via phone at 626-858-9460 and via fax at 626-858-9767.

Location: 143 E. Rowland St. Suite 2, Covina, CA, 91723-3049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073781886
Provider Name
Ben Djabourian
Credential
Provider Entity Type
Individual
Gender
Male
Address
143 E. Rowland St. Suite 2, Covina, CA, 91723-3049
Phone Number
626-858-9460
Fax Number
626-858-9767
Provider Enumeration Date
02/14/2008
Last Update Date
08/17/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4974734 01 CA MEDICAID PIN
DME03036F 05 CA
institution
Provider Business Practice Location Address Details
Address
143 E. Rowland St. Suite 2
City
Covina
State
California
Zip
91723-3000
Phone Number
626-858-9460
Fax Number
626-858-9767
person
Provider Business Mailing Address Details
Address
143 E. Rowland St. Suite 2
City
Covina
State
California
Zip
91723-3000
Phone Number
626-858-9460
Fax Number
626-858-9767
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
()
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
0306 (California)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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