Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Petar Vukasin M D Inc

Organization Surgery Physician · NPI 1528359304

Petar Vukasin M D Inc is a Surgery Physician in Glendale, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

222 W Eulalia St Ste 100A
Glendale, CA 91204-2850
Phone: (818) 244-8161
Fax: (818) 244-5122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence G74237 (CA)
Surgery Physician Taxonomy 208600000X · Licence G74237 (CA)

Record details

NPI number1528359304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Petar Vukasin — Owner · (818) 244-8161
NPI enumeratedApril 27, 2011
Last updated in NPPESApril 27, 2011
Mailing address222 W. Eulalia St Ste 100a, Glendale, CA 91204-2508

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