PRO SURGICAL INC


Address: 88 N Fair Oaks Ave Ste 105, Pasadena, CA 91103-3655
Phone: 8182472000

PRO SURGICAL INC (NPI# 1780068189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780068189
Entity Type Organization
Organization Name PRO SURGICAL INC
Practice Address 88 N Fair Oaks Ave Ste 105
Pasadena
CA 91103-3655
Mailing Address 501 W Glenoaks Blvd Ste 10-819
Glendale
CA 91202-2896
Practice Telephone 8182472000
Practice Fax Number 8182472121
Mailing Telephone 8182472000
Mailing Fax Number 8182472121
Enumeration Date 2015-07-15
Last Update Date 2015-07-15
Authorized Official Name DR. GEVORG MUTAFYAN (PRESIDENT)
Authorized Official Telephone 8182472000
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery A92473 NC Allopathic & Osteopathic Physicians

Office Location

Street Address 88 N FAIR OAKS AVE STE 105
City PASADENA
State CA
Zip Code 91103-3655

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013407071 Sean Patrick Comingore Counselor 1680 N. Fair Oaks Ave., Pasadena, CA 91103 2018-05-15
1093230252 John Jesus Smith Rehabilitation Practitioner 867 Fair Oaks Ave, Pasadena, CA 91103 2017-08-09
1760906085 Roberto Sotelo Jr. Licensed Vocational Nurse 867 North Fair Oaks Ave., Pasadena, CA 91103 2017-07-28
1477076172 Towana Danielle Hooks Rehabilitation Practitioner 867 North Fair Oaks, Pasadena, CA 91103 2017-07-25
1437671807 Yolanda Centeno Marriage & Family Therapist 867 Fairoaks., Pasadena, CA 91103 2017-07-07
1306366604 Joseph Anthony Zepeda Counselor 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 2017-06-27
1922537372 Chaznii Bradford Licensed Vocational Nurse 867 N. Fair Oaks, Pasadena, CA 91103 2017-06-08
1629505425 Wassim Ammary Pharmacist 1855 South Fair Oaks Ave, Pasadena, CA 91103 2017-05-11
1679005920 Grace Caroline Seto Marriage & Family Therapist 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 2017-03-28
1225575293 Catherine Lynn Gray Psychologist 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 2017-01-27
Find all providers in zip 91103

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255756524 Tirso Deljunco Sr. Surgery 1010 E. Union St., #130, Pasadena, CA 91106 2014-02-24
1710319017 Premiere Surgical Specialists, A Professional Corporation Surgery 35 E Glenarm St, Pasadena, CA 91105-3418 2013-08-08
1376860346 Gloria Marie F. Kimie Tumbaga Surgery 1294 E Colorado Blvd, Pasadena, CA 91106-1901 2010-04-29
1346417714 Arthur Joseph Donovan Surgery 111 S Orange Grove Blvd Apt 308, Pasadena, CA 91105-1756 2008-05-14
1356549398 N V Danekar M D A Professional Corporation Surgery 3235 Villa Highlands Dr, Pasadena, CA 91107-1537 2007-07-10
1235336033 David J Lourie Md Inc Wes J Powell Md Inc David R Martin Md Inc Surgery 50 Bellefontaine St Ste 404, Pasadena, CA 91105-3132 2007-06-27
1215022561 Jean Claude Henry Surgery 655 S Euclid Ave, Pasadena, CA 91106-3732 2006-10-03
1205879822 Fernando E Miranda Sr. Surgery 4301b Vista Rd, #100, Pasadena, TX 77504-2117 2006-06-13
1013966571 David J Lourie Surgery 950 S Arroyo Pkwy, Fl 3, Pasadena, CA 91105-3930 2006-05-10
1720037807 David R Martin Surgery 955 S Arroyo Pkwy, 3rd Floor, Pasadena, CA 91105 2006-05-08
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City PASADENA
Zip Code 91103

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Dataset Information

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.

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