Healthcare Provider Details

I. General information

NPI: 1013935337
Provider Name (Legal Business Name): ARMEN VARTANY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 04/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 S BUENA VISTA ST 300
BURBANK CA
91505-4503
US

IV. Provider business mailing address

116 S BUENA VISTA ST 300
BURBANK CA
91505-4503
US

V. Phone/Fax

Practice location:
  • Phone: 818-500-0823
  • Fax: 818-239-4507
Mailing address:
  • Phone: 818-500-0823
  • Fax: 818-239-4507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG069838
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: