Festekjian, Jaco Hagop
Festekjian, Jaco Hagop is an individual health care provider with primary practice located at 200 Medical Plz #465, Los Angeles CA 90095-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Festekjian, Jaco Hagop can be contacted via phone (310) 825-5510.Contact Information
Primary practice address
200 Medical Plz #465
Los Angeles CA 90095-0001
Phone: (310) 825-5510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | A53799 | California |
Profile Details
| NPI number | 1619981073 |
|---|---|
| LBN Legal business name | Festekjian, Jaco Hagop |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Aug 13th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619981073 | NPPES |
| California | MEDICAID | 00A537990 |
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