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Contact Information

VATCHE B BARDAKJIAN, MD
1500 S CENTRAL AVE
SUITE 126
GLENDALE, CA91204
 Phone: 818-247-4894
 Fax: 818-247-4163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for VATCHE B BARDAKJIAN · (Male)

NPI # 1386774255
Status Active
Credentials MD
Entity Individual
Enumeration date 03/07/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A45955
  • CA Medicaid OOA459551
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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