# PASADENA PEDIATRIC SURGERY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598137291
- **Authorized official:** DR. STEVE CHI-LONG CHEN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (626) 243-7000

## Contact information

- **Practice address:** 625 S FAIR OAKS AVE STE 286, PASADENA, CA 91105-2613
- **Practice address phone:** (626) 243-7000
- **Practice address fax:** (310) 657-0096
- **Mailing address:** 625 S FAIR OAKS AVE STE 286, PASADENA, CA 91105-2613
- **Mailing address phone:** (626) 243-7000
- **Mailing address fax:** (310) 657-0096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | G76785 | CA | Yes |

## Other

- **Enumeration date:** 10/21/2015
- **Last updated:** 10/21/2015