Individual
ANDREW J VARDANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 460, LOS ANGELES, CA 90095-6960
(310) 825-8927
(310) 206-3028
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A95380
CA
208600000X
Surgery Physician
A95380
CA
2086S0102X
Surgical Critical Care Physician
A95380
CA
Other
Enumeration date
01/08/2007
Last updated
12/30/2019
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