MED-PRO FAMILY CLINIC, A MEDICAL CORPORATION (NPI# 1972690899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972690899 |
| Entity Type | Organization |
| Organization Name | MED-PRO FAMILY CLINIC, A MEDICAL CORPORATION |
| Practice Address |
221 E. Glenoaks Blvd. 130 Glendale CA 91207 |
| Mailing Address |
11017 S. Atlantic Ave. 1st Floor Lynwood CA 90262 |
| Practice Telephone | 8185491713 |
| Practice Fax Number | 8185491716 |
| Mailing Telephone | 3106353800 |
| Mailing Fax Number | 3106355448 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SAYEEDA SULTANA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3106353800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A36908 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0085430 | 05 |
| Street Address |
221 E. GLENOAKS BLVD. 130 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821298449 | Planet Home Health Care, Inc. | Home Health | 221 E. Glenoaks Blvd., Ste 240, Glendale, CA 91207-2085 | 2007-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986640 | Mariel Krystel V Llamas | Pharmacist | 150 E Glenoaks Blvd, Glendale, CA 91207 | 2019-11-11 |
| 1992287445 | Paul Meserkhani Dds Inc | Clinic/Center | 620 E Glenoaks Blvd Ste B, Glendale, CA 91207 | 2018-08-31 |
| 1760720775 | Mery Mkrtchian | Behavioral Analyst | 402 East Dryden St, #1, Glendale, CA 91207 | 2013-01-25 |
| 1518215177 | Lusine Dishigrikyan | Pharmacist | 108 E. Kenneth Road, Glendale, CA 91207 | 2012-08-29 |
| 1578859567 | Arina V Hartunian | Dentist | 418 E. Glenoaks Blvd., Kids Dental Place, Suite # 202, Glendale, CA 91207 | 2011-06-28 |
| 1831422930 | Jeanette I Lantz | Psychologist | 601 E. Glenoaks Blvd, Suite 102, Glendale, CA 91207 | 2009-09-09 |
| 1215147681 | Pia Bravo Padillo | Physical Therapist | 1254 North Everrett St, Glendale, CA 91207 | 2007-05-23 |
| 1710106455 | Avi Amit | Physical Therapist | 333 E Glenoaks Blvd Ste 204, Glendale, CA 91207 | 2007-04-24 |
| 1689733081 | San Cristobal Medical Group Inc | General Practice | 610 N. Central Avenue, Suite109, Los Angeles, CA 91207 | 2006-12-08 |
| 1063597417 | Edith Gevorgian | Dentist | 332 E Glenoaks Blvd, #100, Glendale, CA 91207 | 2006-10-26 |
| Find all providers in zip 91207 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444623 | Skilled Physicians Group | Surgery | 3747 Foothill Blvd # B140, Glendale, CA 91214-1700 | 2019-12-12 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| 1740594761 | Joseph Anthony Dipasquale | Surgery | 18028 N 55th Ave, Glendale, AZ 85308-1302 | 2010-08-02 |
| 1538391479 | Chaparral Surgical Specialists.ltd | Surgery | 4601 W Bryce Ln, Glendale, AZ 85301-1626 | 2009-08-11 |
| 1942437629 | Moshe Barnajian | Surgery | 222 W Eulalia St Ste 100a, Glendale, CA 91204-2850 | 2009-06-19 |
| 1164699906 | Karthik Raghavan | Surgery | 5700 W Olive Ave Ste 106, Glendale, AZ 85302-3147 | 2008-05-12 |
| 1326186636 | David G Davtyan Md Inc A Professional Medicalcorp | Surgery | 1141 N Brand Blvd Ste 300, Glendale, CA 91202-2578 | 2007-02-01 |
| 1619037405 | Wan-lin Horng | Surgery | 20325 N 51st Ave Ste 102, Glendale, AZ 85308-5665 | 2006-12-11 |
| 1487747747 | Ela M Timbadia | Surgery | 5422 W Thunderbird Rd Ste 19d, Glendale, AZ 85306-4729 | 2006-10-01 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on MED-PRO FAMILY CLINIC, A MEDICAL CORPORATION.
| 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.