Ian Beaudoin Ross in Pasadena - Neurological Surgery
Ian Beaudoin Ross - NPI 1003853730
Ian Beaudoin Ross is a Neurological Surgery in Pasadena, California. Ian Beaudoin Ross practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Ian Beaudoin Ross is 1003853730. The last update date is 2007-12-12.
Ian Beaudoin Ross's current location address is 630 S Raymond Ave, Pasadena, California. You can contact this provider via phone number 6267938194 and fax number 6267933664. The mailing address for Ian Beaudoin Ross is 630 S Raymond Ave, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ian Beaudoin Ross |
|---|---|
| Address | 630 S Raymond Ave, Pasadena, California |
| Phone Number | 6267938194 |
| Fax Number | 6267933664 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003853730 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2007-12-12 |
Provider Mailing Address Detail
| Address | 630 S Raymond Ave |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911053278 |
| Phone Number | 6267938194 |
| Fax Number | 6267933664 |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
| Licence No | G87566 |
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Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G875660 | CA | -- |
Post Comment/ Review Below
What is the Ian Beaudoin Ross's 1003853730?
The Ian Beaudoin Ross's NPI (National Provider Identifier) Number is 1003853730. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ian Beaudoin Ross?
The Ian Beaudoin Ross is situated at 630 S Raymond Ave, in the city of Pasadena, state of CA, with the zip code 911053278.
What is Ian Beaudoin Ross's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ian Beaudoin Ross is Neurological Surgery, and the taxonomy code that categorizes this field of expertise is 207T00000X.
On what date did the Ian Beaudoin Ross receive the assignment of its 1003853730 from the Centers for Medicare & Medicaid Services?
The Ian Beaudoin Ross was issued its 1003853730 by the Centers for Medicare & Medicaid Services on 2006-06-01.
As of what date were the details pertaining to Ian Beaudoin Ross last refreshed?
The information related to the Ian Beaudoin Ross, including its address, specialty, and other relevant details, was last updated on 2007-12-12.