Organization
BIONIC SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARDIN HAKAKIAN DPM (CFO)
(818) 578-5125
Entity
Organization
Contact information
Practice address
5620 WILBUR AVE, SUITE 305, TARZANA, CA 91356-1311
(818) 578-5125
(818) 578-6039
Mailing address
5620 WILBUR AVE, SUITE 305, TARZANA, CA 91356-1311
(818) 578-5125
(818) 578-6039
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
648832
JOINT COMMISSION
—
Enumeration date
05/20/2020
Last updated
04/28/2021
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