VARDAN DAGSTANYAN DO, MBA
NPI 1124867163
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Vardan Dagstanyan's NPI number?

The NPI number for Vardan Dagstanyan is 1124867163. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Q: What is Vardan Dagstanyan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Vardan Dagstanyan was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 20, 2024

4004 BEYER BLVD, SAN DIEGO, CA 92173(619) 227-0450 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vardan Dagstanyan Do, Mba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VARDAN DAGSTANYAN DO, MBA (NPI 1124867163) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1124867163

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameVARDAN DAGSTANYANCredential: DO, MBA

Location Address4004 BEYER BLVDSan Diego, CA 92173-2099

Mailing Address1601 Precision Park LnSan Ysidro, CA 92173-1345 · (619) 734-0621

Phone(619) 227-0450

Sole ProprietorNo

Enumeration DateMay 20, 2024

Last NPPES UpdateJune 25, 2024

NPPES CertifiedJune 25, 2024

✔ NPI 1124867163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

4004 BEYER BLVD, San Diego, CA 92173

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC

Clinic/Center (Rural Health)