Provider Demographics
NPI:1750521035
Name:PROGEN AUTOTRANSFUSION/CORONARY SUPPORT SERVICES, INC
Entity type:Organization
Organization Name:PROGEN AUTOTRANSFUSION/CORONARY SUPPORT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-464-9600
Mailing Address - Street 1:15333 CULVER DR
Mailing Address - Street 2:SUITE 340-181
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-3078
Mailing Address - Country:US
Mailing Address - Phone:949-464-9600
Mailing Address - Fax:562-424-5895
Practice Address - Street 1:2764 SAN FRANCISCO AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2550
Practice Address - Country:US
Practice Address - Phone:949-464-9600
Practice Address - Fax:562-424-5895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty