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Organization

NICOLAS VARDIABASIS, DO A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICOLAS VARDIABASIS DO (PRESIDENT)
(562) 547-5319
Entity
Organization

Contact information

Practice address
7230 MEDICAL CENTER DR STE 500, WEST HILLS, CA 91307-4024
(818) 348-7246
Mailing address
14332 VENTURA BLVD, SHERMAN OAKS, CA 91423-2717

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
05/03/2024
Last updated
06/21/2024
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