VATCHE B BARDAKJIAN MD NPI 1386774255

NPI Information

Vatche B Bardakjian, MD is a plastic and reconstructive surgery surgery in Glendale, CA with 53 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Vatche B Bardakjian, MD NPI is 1386774255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 S CENTRAL AVE
SUITE 126
GLENDALE, CA
ZIP 91204
Phone: (818) 247-4894
Fax: (818) 247-4163

The NPI 1386774255 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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