Individual provider · NPI-1

Dr. Vladimir Grigoryants, MD

Plastic Surgery · Glendale, CA

NPI number1790849503
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1790849503
Entity type
Individual (NPI-1)
Name
Dr. Vladimir Grigoryants
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 19, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgerya93719CAYes

Practice location

1808 Verdugo Blvd
Suite 208
Glendale, CA 91208-1477

Phone 818-952-7070 · Fax 818-952-7993

Mailing address

412 N Isabel St Apt D
Glendale, CA 91206-3333

Phone 800-540-0508 · Fax 818-952-7993

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