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Contact Information

ARTUR VARDANYAN, MD
800 S CENTRAL AVE
STE 308
GLENDALE, CA91204-4644
 Phone: 818-549-8800
 Fax: 818-549-8811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ARTUR VARDANYAN · (Male)

NPI Number 1497073084
Status Active
Credentials MD
Entity Individual
Enumeration date 05/07/2010
Last updated 09/28/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A127250
  • FL License # ME 105695
  • FL License # ME105695
  • FL Medicaid 002357800
  • Other P00863023 RR MEDICARE ATTACHED TO GRP# DQ1103
  • FL Other 148U6 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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