DR. Edmond Derderian, M.D.

NPI #1114258944 in Sherman Oaks, California

Provider Information

NPI Number: 1114258944
Entity Type: Individual
Name: DR. Edmond Derderian, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jan 18, 2010
Last Updated: Oct 24, 2019

Practice Location

Address: 4955 VAN NUYS BLVD STE 308
City: Sherman Oaks
State: California
ZIP Code: 91403-1811
Phone: (818) 528-1044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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