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KORUON DALDALYAN M.D.
NPI 1679937643
Internal Medicine in Sherman Oaks, CA

Active since April 06, 2016PECOS Enrolled
13320 RIVERSIDE DR STE 104, SHERMAN OAKS, CA 91423(818) 574-6189 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2022, Feb 4, 2020, Jan 30, 2020 (3 updates tracked since 2020).

About Koruon Daldalyan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KORUON DALDALYAN M.D. (NPI 1679937643) is an individual internal medicine provider in Sherman Oaks, California, licensed in California (A158942) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1679937643
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKORUON DALDALYANCredential: M.D.
Location Address13320 RIVERSIDE DR STE 104Sherman Oaks, CA 91423-2550
Mailing Address13320 Riverside Dr Ste 104Sherman Oaks, CA 91423-2550 · (818) 574-6189 · Fax (818) 574-6218
Phone(818) 574-6189
Sole ProprietorNo
Enumeration DateApril 6, 2016
Last NPPES UpdateAugust 19, 20253 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1679937643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A158942✔ Licensed in AZ · 61669
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13320 RIVERSIDE DR STE 104, Sherman Oaks, CA 91423
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Secondary Practice Location 1

Location 113416 N 32nd St Ste 109Phoenix, AZ 85032-6000 · Phone (818) 574-6189

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koruon Daldalyan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koruon Daldalyan's NPI number?

The NPI number for Koruon Daldalyan is 1679937643. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Koruon Daldalyan located?

Koruon Daldalyan practices at 13320 Riverside Dr Ste 104, Sherman Oaks, CA 91423. The listed phone number is (818) 574-6189.

What is Koruon Daldalyan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Koruon Daldalyan enrolled in Medicare?

Yes. Koruon Daldalyan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Koruon Daldalyan was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.