Provider Demographics
NPI:1902196157
Name:ARMEN VARTANY, MD, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ARMEN VARTANY, MD, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARTANY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-500-0823
Mailing Address - Street 1:116 S BUENA VISTA ST STE 300
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4503
Mailing Address - Country:US
Mailing Address - Phone:818-500-0823
Mailing Address - Fax:818-239-4507
Practice Address - Street 1:116 S BUENA VISTA ST STE 300
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505
Practice Address - Country:US
Practice Address - Phone:818-500-0823
Practice Address - Fax:818-239-4507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG069838208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G69838Medicare PIN
F98541Medicare UPIN