Healthcare Provider Details

I. General information

NPI: 1902196157
Provider Name (Legal Business Name): ARMEN VARTANY, MD, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2011
Last Update Date: 07/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 S BUENA VISTA ST STE 300
BURBANK CA
91505
US

IV. Provider business mailing address

116 S BUENA VISTA ST STE 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: DR. ARMEN VARTANY
Title or Position: PRESIDENT
Credential: MD
Phone: 818-500-0823