GLENDALE PLASTIC AND RECONSTRUCTIVE SURGERY INC.


Address: 1500 S. Central Ave. #126, Glendale, CA 91204
Phone: 8182474894

GLENDALE PLASTIC AND RECONSTRUCTIVE SURGERY INC. (NPI# 1548521156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548521156
Entity Type Organization
Organization Name GLENDALE PLASTIC AND RECONSTRUCTIVE SURGERY INC.
Practice Address 1500 S. Central Ave. #126
Glendale
CA 91204
Practice Telephone 8182474894
Practice Fax Number 8182474163
Mailing Telephone 8182474894
Mailing Fax Number 8182474163
Enumeration Date 2012-05-31
Last Update Date 2012-05-31
Authorized Official Name DR. VATCHE B BARDAKJIAN (DOCTOR)
Authorized Official Telephone 8182474894
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery A45955 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1500 S. CENTRAL AVE. #126
City GLENDALE
State CA
Zip Code 91204

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1396111886 Fresenius Medical Care Glendale, LLC Clinic/Center 623 S Central Ave, Glendale, CA 91204 2015-08-19
1710302450 New Age Foot and Ankle Podiatry PC Podiatrist 705 Ivy Street, Glendale, CA 91204 2014-03-04
1124454376 Alber K. Karamanoukian Medical Clinic, Inc. Clinic/Center 810 S. Central Avenue, Suite 100, Glendale, CA 91204 2013-09-19
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245307396 Bradley K Becker Plastic Surgery 18555 N 79th Ave Ste B102, Glendale, AZ 85308-8372 2006-11-30
1801979620 Peter H. Ashjian Plastic Surgery 240 S Jackson St, Glendale, CA 91205-1395 2006-10-23
1821436049 Eric L Barker Plastic Surgery 425 S Cherry St Ste 907, Glendale, CO 80246 2013-06-10
1639438633 A W Perry Jr M D A Medical Corporation Plastic Surgery 1808 Verdugo Blvd, Suite 118, Glendale, CA 91208-1477 2012-05-10
1457675324 Jon I. Sattler, M.d., Inc. Plastic Surgery 1500 S Central Ave, Suite 126, Glendale, CA 91204-2530 2010-03-22
1790849503 Vladimir Grigoryants Plastic Surgery 1808 Verdugo Blvd, Suite 208, Glendale, CA 91208-1477 2006-12-19
1265543813 Allan W Perry Jr. Plastic Surgery 1808 Verdugo Blvd, Suite 118, Glendale, CA 91208-1477 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821696048 Victor Liu Md, A Medical Corporation Plastic Surgery 1720 El Camino Real Ste 200, Burlingame, CA 94010-3226 2020-10-09
1629683255 Veritas Aesthetics PC Plastic Surgery 23838 Valencia Blvd Ste 260, Valencia, CA 91355-5630 2020-09-10
1700405586 Keyian Paydar, Md, PC Plastic Surgery 3991 Macarthur Blvd Ste 320, Newport Beach, CA 92660-3004 2020-04-13
1548892045 Adventist Health Physicians Network Plastic Surgery 301 Science Dr Ste 180, Moorpark, CA 93021-0800 2020-02-12
1396383212 La Jolla Professional Plastic Surgery Plastic Surgery 4510 Executive Dr. Suite 105, San Diego, CA 92121 2019-12-11
1083259840 Remedy Place Physicians Plastic Surgery 8305 Sunset Blvd, Los Angeles, CA 90069 2019-11-15
1851945646 Skinzone Medical Inc Plastic Surgery 3374 S. Bristol St, Santa Ana, CA 92704 2019-07-30
1790341832 Frederic Jerome Kolb Plastic Surgery 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 2019-05-14
1588125835 Beauty Eternal, Inc Plastic Surgery 1260 East Ave Ste 130, Chico, CA 95926-1021 2019-03-28
1689131229 Schoemann Reconstructive Surgery Plastic Surgery 477 N El Camino Real Ste D101, Encinitas, CA 92024-1370 2019-03-01
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Competitor

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City GLENDALE
Zip Code 91204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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