Jaco Hagop Festekjian, MD
Surgery, Plastic and Reconstructive Surgery in Los Angeles, CA. Individual provider (NPI-1).
NPI number1619981073
StatusActive
Last updated in NPPESAug 13, 2010
Details
- NPI
- 1619981073
- Entity type
- Individual (NPI-1)
- Name
- Jaco Hagop Festekjian
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Last updated
- Aug 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | A53799 | CA | Yes |
Practice location
200 Medical Plz#465
Los Angeles, CA 90095-0001
Phone 310-825-5510
Mailing address
5767 W Century BlvdSuite 400
Los Angeles, CA 90045-5631
Phone 310-825-5510
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