Organization
PRO SURGICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEVORG MUTAFYAN M.D. (PRESIDENT)
(818) 247-2000
Entity
Organization
Contact information
Practice address
88 N FAIR OAKS AVE STE 105, PASADENA, CA 91103-3655
(818) 247-2000
(818) 247-2121
Mailing address
501 W GLENOAKS BLVD STE 10-819, GLENDALE, CA 91202-2896
(818) 247-2000
(818) 247-2121
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A92473
NC
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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