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Contact Information

GLENDALE PLASTIC AND RECONSTRUCTIVE SURGERY INC.
1500 S. CENTRAL AVE. #126
GLENDALE, CA91204
 Phone: 818-247-4894
 Fax: 818-247-4163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GLENDALE PLASTIC AND RECONSTRUCTIVE SURGERY INC.

NPI Number 1548521156
LBN Legal business name GLENDALE PLASTIC AND RECONSTRUCTIVE SURGERY INC.
Authorized official VATCHE BARDAKJIAN - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2012
Last updated 05/31/2012 - About 14 years ago
Identifiers
CA License # A45955
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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