Organization
VATCHE B. BARDAKJIAN, M.D, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VATCHE B BARDAKJIAN M.D (CEO)
(818) 247-4894
Entity
Organization
Contact information
Practice address
1577 E CHEVY CHASE DR STE 250, GLENDALE, CA 91206-4172
(818) 247-4894
(818) 247-4163
Mailing address
1577 E CHEVY CHASE DR STE 250, GLENDALE, CA 91206-4172
(818) 247-4894
(818) 247-4163
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A45955
CA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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