Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derderyan Medical Group Inc

Organization Internal Medicine Physician · NPI 1457712309

Derderyan Medical Group Inc is an Internal Medicine Physician in Sherman Oaks, California. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4955 Van Nuys Blvd Ste 308
Sherman Oaks, CA 91403-1811
Phone: (646) 552-1547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1457712309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edmond Derderyan — President/Owner · (646) 552-1547
NPI enumeratedMarch 18, 2016
Last updated in NPPESFebruary 7, 2021
Certification dateFebruary 7, 2021
Mailing address4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811

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