Organization
VYTAL SURGICAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDIN HAKAKIAN DPM (CEO)
(818) 578-5125
Entity
Organization
Contact information
Practice address
19228 VENTURA BLVD STE A, TARZANA, CA 91356-3101
(818) 578-5125
(818) 578-6039
Mailing address
19228 VENTURA BLVD STE A, TARZANA, CA 91356-3101
(818) 578-5125
(818) 578-6039
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
02/05/2025
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