Organization
NOVEON SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDIN HAKAKIAN DPM (CEO)
(818) 400-6967
Entity
Organization
Contact information
Practice address
5620 WILBUR AVE, SUITE 305, TARZANA, CA 91356-1351
(818) 578-8284
Mailing address
5620 WILBUR AVE, SUITE 305, TARZANA, CA 91356-1351
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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