LEONARD G. PRUTSOK M.D. INC. (NPI# 1548532872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548532872 |
| Entity Type | Organization |
| Organization Name | LEONARD G. PRUTSOK M.D. INC. |
| Practice Address |
1310 W. Stewart Drive Suite 214 Orange CA 92868-3837 |
| Practice Telephone | 7149979078 |
| Practice Fax Number | 7149979771 |
| Mailing Telephone | 7149979078 |
| Mailing Fax Number | 7149979771 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-05-31 |
| Authorized Official Name | LEONARD GEORGE PRUTSOK (PRESIDENT) |
| Authorized Official Telephone | 7149977078 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | G18825 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1310 W. STEWART DRIVE SUITE 214 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710910286 | Carlos Blanche | Specialist | 1310 W. Stewart Drive, Suite 503, Orange, CA 92868-3856 | 2006-07-08 |
| 1356589634 | Carlos Blanche Md A Medical Corporation | Specialist | 1310 W. Stewart Drive, Suite 503, Orange, CA 92868-3856 | 2009-01-26 |
| 1871777276 | Angel Gomez Garcia | Clinic/Center | 1310 W. Stewart Drive, Suite 309, Orange, CA 92868 | 2007-12-20 |
| 1538381751 | Women's Primary Health Physicians-orange County, A Medical Group, Inc | Obstetrics & Gynecology | 1310 W. Stewart Drive, Suite 406, Orange, CA 92868 | 2007-05-03 |
| 1093736118 | Orange Doctors of Kids and Teens | Preferred Provider Organization | 1310 W. Stewart Drive, Suite #506, Orange, CA 92868 | 2006-07-22 |
| 1629002118 | Drewry H Morris | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1310 W. Stewart Drive, Suite 503, Orange, CA 92868-3856 | 2006-07-10 |
| 1417981929 | William N Thibault | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1310 W. Stewart Drive, Suite 503, Orange, CA 92868-3856 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659546323 | Richard Restifo, Md PC | Plastic Surgery | 200 S Orange Center Rd, Orange, CT 06477-3349 | 2008-04-24 |
| 1457328254 | Arthur Hagop Salibian | Plastic Surgery | 1310 W Stewart Drive, Suite 211, Orange, CA 92868-3837 | 2006-03-01 |
| 1710373485 | Melissa Danielle Kanack | Plastic Surgery | 200 S Manchester Ave, Ste 650, Orange, CA 92868-3217 | 2015-04-09 |
| 1952797896 | Christine Jean Lee | Plastic Surgery | 200 S Manchester Ave Ste 650, Orange, CA 92868-3224 | 2015-04-07 |
| 1194068692 | Children's Hospital of Orange County | Plastic Surgery | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-04-03 |
| 1811262959 | Eric D Wang | Plastic Surgery | 200 S Manchester Ave Ste 650, Orange, CA 92868-3224 | 2012-03-21 |
| 1003116989 | Aesthetic and Plastic Surgery Institute | Plastic Surgery | 101 The City Dr S, Orange, CA 92868-3201 | 2010-10-26 |
| 1275858821 | Cathy Joyce Tang | Plastic Surgery | 200 S Manchester Ave Ste 650, Orange, CA 92868-3224 | 2010-04-06 |
| 1417119231 | Regents of The University of California | Plastic Surgery | 200 S Manchester Ave, Ste 650, Orange, CA 92868-3224 | 2008-07-02 |
| 1649442328 | Amber Rachel Leis | Plastic Surgery | 200 S. Manchester Ave, Suite 650, Orange, CA 92868 | 2008-04-02 |
| Find all providers in ORANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.