Individual provider · Type 1 NPI
Jaco Hagop Festekjian, MD
Plastic and Reconstructive Surgery Physician · Los Angeles, CA
NPI number
1619981073
Active
Practice location
200 Medical Plz, #465
Los Angeles, CA 90095-0001
Mailing address
5767 W Century Blvd, Suite 400
Los Angeles, CA 90045-5631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | A53799 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1619981073
Jaco Hagop Festekjian, MD's National Provider Identifier is 1619981073, issued on Jul 28, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 13, 2010.