# VATCHE B. BARDAKJIAN, M.D, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609233121
- **Authorized official:** VATCHE B BARDAKJIAN M.D (CEO)
- **Authorized official phone:** (818) 247-4894

## Contact information

- **Practice address:** 1577 E CHEVY CHASE DR STE 250, GLENDALE, CA 91206-4172
- **Practice address phone:** (818) 247-4894
- **Practice address fax:** (818) 247-4163
- **Mailing address:** 1577 E CHEVY CHASE DR STE 250, GLENDALE, CA 91206-4172
- **Mailing address phone:** (818) 247-4894
- **Mailing address fax:** (818) 247-4163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A45955 | CA | Yes |

## Other

- **Enumeration date:** 01/28/2016
- **Last updated:** 01/28/2016