Organization
PASADENA PEDIATRIC SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE CHI-LONG CHEN MD (MEDICAL DIRECTOR)
(626) 243-7000
Entity
Organization
Contact information
Practice address
625 S FAIR OAKS AVE STE 286, PASADENA, CA 91105-2613
(626) 243-7000
(310) 657-0096
Mailing address
625 S FAIR OAKS AVE STE 286, PASADENA, CA 91105-2613
(626) 243-7000
(310) 657-0096
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
G76785
CA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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