Individual provider · Type 1 NPI

Vardan Dagstanyan, DO, MBA

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1124867163 Active

Practice location

4004 Beyer Blvd
San Diego, CA 92173-2099

Call (619) 227-0450 Map

Mailing address

1601 Precision Park Ln
San Ysidro, CA 92173-1345

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124867163

Vardan Dagstanyan, DO, MBA's National Provider Identifier is 1124867163, issued on May 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jun 25, 2024.