# NICOLAS VARDIABASIS, DO A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1952158370
- **Authorized official:** DR. NICOLAS VARDIABASIS DO (PRESIDENT)
- **Authorized official phone:** (562) 547-5319

## Contact information

- **Practice address:** 7230 MEDICAL CENTER DR STE 500, WEST HILLS, CA 91307-4024
- **Practice address phone:** (818) 348-7246
- **Mailing address:** 14332 VENTURA BLVD, SHERMAN OAKS, CA 91423-2717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2024
- **Last updated:** 06/21/2024