Vartan Tachdjian, MD Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A45771 Issued in CA

Legal business name

VARTAN TACHDJIAN, MD INC.

Practice address

4619 Cartwright Ave
Toluca Lake, CA 91602-1409

Phone

(818) 679-2581

Fax

(818) 505-1021

NPI assigned

Feb 12, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vartan Tachdjian, M.D.

Title

Ceo/Medical Director

Phone

(818) 679-2581

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1265671390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 CARTWRIGHT AVE",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916021409",
            "telephone_number": "818-679-2581",
            "fax_number": "818-505-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 CARTWRIGHT AVE",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916021409",
            "telephone_number": "818-679-2581",
            "fax_number": "818-505-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARTAN TACHDJIAN, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "TACHDJIAN",
        "authorized_official_first_name": "VARTAN",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-679-2581",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A45771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A45771",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toluca Lake Medical Supply Inc
• Toluca Medical Group PC
• Traci Gunn, Marriage and Family Therapy Corporation
• Universal Surgery Center, L.L.C.
• Ryan Varon, LMFT
• Richard Villasenor, M.D.
• Vista Center for Counseling and Psychotherapy
• Eleanor Andrea Wallen, D.P.M.
• Alex Walters, MA, BA
• Arthur William Weiss

• General Practice Physician in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.