Pro Surgical Inc a Medical Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A92473 Issued in NC

Legal business name

PRO SURGICAL INC A MEDICAL CORPORATION

Practice address

1510 S Central Ave Ste 200
Glendale, CA 91204-2588

Phone

(818) 247-2000

Fax

(818) 247-2121

NPI assigned

Jul 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gevorg Mutafyan, M.D.NPI 1255465506

Title

President

Phone

(818) 247-2000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gevorg Arutyunavich Mutafyan, MD

  • Surgery Physician
  • Glendale, CA
  • NPI 1255465506
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1780068189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W GLENOAKS BLVD STE 10-819",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022896",
            "telephone_number": "818-247-2000",
            "fax_number": "818-247-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042588",
            "telephone_number": "818-247-2000",
            "fax_number": "818-247-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO SURGICAL INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "MUTAFYAN",
        "authorized_official_first_name": "GEVORG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-247-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "A92473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Privette
• Pro Care Medical Supplies, Inc.
• Pro Emt
• Pro Hospice Care, Inc.
• Pro Med Services Inc
• Pro Wound Care Inc
• Pro-Care Diagnostic Services Inc.
• Procare Hospice, LLC
• Procare Transportation, Inc
• Prodent Care, Dental Practice of Tereza Hambarchian, DDS, Inc

• Surgery Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.