JACO HAGOP FESTEKJIAN MD NPI 1619981073

NPI Information

Jaco Hagop Festekjian, MD is a plastic and reconstructive surgery surgery in Los Angeles, CA with 31 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Jaco Hagop Festekjian, MD NPI is 1619981073. 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:

200 MEDICAL PLZ
#465
LOS ANGELES, CA
ZIP 90095-001
Phone: (310) 825-5510

The NPI 1619981073 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 7/28/2006 and was last updated on 8/13/2010.

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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