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NPI Code Detail

MEDICARE: DR. ROBERT VARTZAR D.C.

MEDICARE:  DR. ROBERT  VARTZAR  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC26322CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC0263220OTHERCABLUE SHIELD PROVIDER ID

General Provider Information

NPI Number : 1326146440
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT VARTZAR D.C.
Provider Business Mailing Address
First Line : 17019 CHATSWORTH ST
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-5845
Country : US
Telephone Number : 818-363-8450
Fax Number : 818-363-8449
Provider Business Practice Location Address
First Line : 17019 CHATSWORTH ST
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-5845
Country : US
Telephone Number : 818-363-8450
Fax Number : 818-363-8449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT VARTZAR D.C.” Practice Location

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