Organization Name: | VARTAN TACHDJIAN, MD INC. |
NPI Number: | 1265671390 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VARTAN TACHDJIAN (CEO/MEDICAL DIRECTOR) |
Mailing Address: | 4619 Cartwright Ave Toluca Lake |
State: | CA US |
Postal Code: | 916021409 |
Phone Number: | 8186792581 |
Fax Number: | 8185051021 |
NPI Enumeration Date: | 02/12/2009 |
NPI Last Update Date: | 02/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A45771 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |