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Individual

DR. ARTUR VARDANYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 S CENTRAL AVE, STE 308, GLENDALE, CA 91204-4644
(818) 549-8800
(818) 549-8811
Mailing address
800 S CENTRAL AVE, STE 308, GLENDALE, CA 91204-4644
(818) 549-8800
(818) 549-8811

Taxonomy

Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
ME105695
FL
208D00000X
General Practice Physician
Primary
A127250
CA
208D00000X
General Practice Physician
ME 105695
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002357800
FL
01
148U6
BCBS
FL
01
P00863023
RR MEDICARE ATTACHED TO GRP# DQ1103
Enumeration date
05/07/2010
Last updated
09/28/2016
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