Provider Demographics
NPI:1538966320
Name:BARLIK, VIKEN S
Entity type:Individual
Prefix:
First Name:VIKEN
Middle Name:S
Last Name:BARLIK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21101 VICTORY BLVD UNIT 216
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-2828
Mailing Address - Country:US
Mailing Address - Phone:818-574-9068
Mailing Address - Fax:
Practice Address - Street 1:21101 VICTORY BLVD UNIT 216
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-2828
Practice Address - Country:US
Practice Address - Phone:818-574-9068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA194700969374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide