PASADENA PEDIATRIC SURGERY INC. NPI 1598137291

NPI Information

  • NPI: 1598137291
  • Provider Name: PASADENA PEDIATRIC SURGERY, INC.
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Organization
  • CLIA Number: 05D2009292
  • Address: 625 S FAIR OAKS AVE STE 286
    PASADENA, CA
    ZIP 91105
  • Phone: (626) 243-7000

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NPI Details

PASADENA PEDIATRIC SURGERY, INC. is a pediatric surgery surgery in Pasadena, CA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. PASADENA PEDIATRIC SURGERY, INC. NPI is 1598137291. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

625 S FAIR OAKS AVE STE 286
PASADENA, CA
ZIP 91105-613
Phone: (626) 243-7000
Fax: (310) 657-0096

The provider's authorized official is Steve Chi-long Chen .
The authorized official title is Medical Director and has the following contact phone number (626) 243-7000.

The CLIA number assigned to this NPI record is 05D2009292 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2015 and was last updated on 10/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0120XSurgeryPediatric SurgeryG76785CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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