Organization
GLENDALE PLASTIC AND RECONSTRUCTIVE SURGERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VATCHE B BARDAKJIAN M.D. (DOCTOR)
(818) 247-4894
Entity
Organization
Contact information
Practice address
1500 S. CENTRAL AVE. #126, GLENDALE, CA 91204
(818) 247-4894
(818) 247-4163
Mailing address
1500 S. CENTRAL AVE. #126, GLENDALE, CA 91204
(818) 247-4894
(818) 247-4163
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A45955
CA
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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