BORYS GVOZDYEV MD A PROFESSIONAL MEDICAL CORPORATION


Address: 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738
Phone: 9496913131

BORYS GVOZDYEV MD A PROFESSIONAL MEDICAL CORPORATION (NPI# 1144888348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144888348
Entity Type Organization
Organization Name BORYS GVOZDYEV MD A PROFESSIONAL MEDICAL CORPORATION
Practice Address 18035 Brookhurst St # 1200
Fountain Valley
CA 92708-6738
Mailing Address 17870 Newhope St Ste 104-197
Fountain Valley
CA 92708-5439
Practice Telephone 9496913131
Mailing Telephone 4993428892
Enumeration Date 2019-06-03
Last Update Date 2020-08-11
Authorized Official Name BORYS GVOZDYEV (PRESIDENT)
Authorized Official Telephone 9499880000
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
31920 Del Obispo St Ste 170, San Juan Capistrano, CA 926753193 9493428892
5750 Downey Ave Ste 201, Lakewood, CA 907121468 9496913131

Office Location

Street Address 18035 BROOKHURST ST # 1200
City FOUNTAIN VALLEY
State CA
Zip Code 92708-6738

Providers in the same zip code

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1093293052 Claudia Raquel Santos Physical Therapist 18384 Brookhurst Street, Fountain Valley, CA 92708 2018-08-01
1659864338 Orange County Respiratory Physicians Corp Internal Medicine 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 2018-06-07
1992297881 Ereny Abdelmalak Metry Pharmacist 9064 Daffodil Ave, Fountain Valley, CA 92708 2018-06-06
1144746348 Goose Pharma, LLC Pharmacy 18049 Magnolia Street, Fountain Valley, CA 92708 2017-08-18
1932622347 Mayra Alejandra Guerra Social Worker 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 2017-07-18
1942722129 Graph Surgery Inc Plastic Surgery 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 2017-07-10
1871022277 Cathy A Castagna-petersen Counselor 10529 Slater Avenue, Fountain Valley, CA 92708 2017-06-08
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Taxonomy Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598326076 Keun-heng Huo, Md, Inc. Orthopaedic Surgery 18035 Brookhurst St Ste 1200, Fountain Valley, CA 92708-6738 2019-06-25
1104188176 Payam Farjoodi Md Inc Orthopaedic Surgery 11160 Warner Ave, Fountain Valley, CA 92708-4008 2012-06-14
1306158506 Keun-heng Huo Orthopaedic Surgery 18035 Brookhurst St, Ste 1200, Fountain Valley, CA 92708-6738 2010-07-06
1356664858 Mitchell G Cohen Md Inc Orthopaedic Surgery 11160 Warner Ave, 305, Fountain Valley, CA 92708-4008 2010-03-11
1205085610 Richard Yd Lin Orthopaedic Surgery 11190 Warner Ave, Suite 306, Fountain Valley, CA 92708-4019 2008-09-10
1467614735 Christopher C. Ninh Md, Inc. Orthopaedic Surgery 11190 Warner Ave Ste 306, Fountain Valley, CA 92708-4047 2008-06-27
1841336385 Payam Farjoodi Orthopaedic Surgery 11160 Warner Ave Ste 311, Fountain Valley, CA 92708-4055 2007-01-30
1851329874 Zafar Saleem Khan Orthopaedic Surgery 11160 Warner Ave Ste 311, Fountain Valley, CA 92708-4055 2006-06-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720649940 Travis Loidolt D.o. Inc Orthopaedic Surgery 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 2019-06-27
1528629185 Kushagra Verma Md Inc Orthopaedic Surgery 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 2019-06-25
1992369227 Veronica Donato Orthopaedic Surgery 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 2019-04-22
1134681232 Sca Care of Ca, LLC Orthopaedic Surgery 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 2019-04-05
1528557568 James Alfred Aicardi Orthopaedic Surgery 3838 California St Rm 715, San Francisco, CA 94118-1509 2018-05-04
1457850661 Ravi Ramachandran Md Inc Orthopaedic Surgery 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 2018-02-03
1659879906 Total Joint Cin of Northern California Orthopaedic Surgery 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 2018-01-31
1588172936 Select Health of Ca IIi, LLC Orthopaedic Surgery 2372a Morse Ave, Irvine, CA 92614-6234 2018-01-19
1578071924 Coordinated Health of Ca IIi, LLC Orthopaedic Surgery 2372c Morse Ave, Irvine, CA 92614-6234 2018-01-19
1841708716 Select Health of Ca II, LLC Orthopaedic Surgery 4275 Executive Sq Ste 200a, La Jolla, CA 92037-1476 2018-01-13
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Competitor

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City FOUNTAIN VALLEY
Zip Code 92708

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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