Provider Demographics
NPI:1841450103
Name:KYUREGHIAN, ROBERT RUBEN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:RUBEN
Last Name:KYUREGHIAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11895 TIARA ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-1340
Mailing Address - Country:US
Mailing Address - Phone:917-767-3951
Mailing Address - Fax:949-588-2199
Practice Address - Street 1:14850 ROSCOE BLVD
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4618
Practice Address - Country:US
Practice Address - Phone:818-787-2222
Practice Address - Fax:949-588-2199
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA123012208VP0014X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine