Individual
VATCHE B BARDAKJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S CENTRAL AVE, SUITE 126, GLENDALE, CA 91204
(818) 247-4894
(818) 247-4163
Mailing address
1500 S CENTRAL AVE, SUITE 126, GLENDALE, CA 91204
(818) 247-4894
(818) 247-4163
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A45955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOA459551
—
CA
Enumeration date
03/07/2007
Last updated
07/08/2007
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