Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glendale Plastic and Reconstructive Surgery Inc

Organization Plastic Surgery Physician · NPI 1548521156

Glendale Plastic and Reconstructive Surgery Inc is a Plastic Surgery Physician in Glendale, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 S Central Ave #126
Glendale, CA 91204
Phone: (818) 247-4894
Fax: (818) 247-4163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A45955 (CA)

Record details

NPI number1548521156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vatche Bardakjian — Doctor · (818) 247-4894
NPI enumeratedMay 31, 2012
Last updated in NPPESMay 31, 2012
Mailing address1500 S. Central Ave. #126, Glendale, CA 91204

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