Healthcare Provider Details

I. General information

NPI: 1972423077
Provider Name (Legal Business Name): COMBS SURGICAL ASSISTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 N COOPER RD UNIT 3033
GILBERT AZ
85233-1260
US

IV. Provider business mailing address

1400 N COOPER RD UNIT 3033
GILBERT AZ
85233-1260
US

V. Phone/Fax

Practice location:
  • Phone: 310-728-0918
  • Fax:
Mailing address:
  • Phone: 310-728-0918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MISS KELLY LOUISE COMBS
Title or Position: OWNER
Credential: CST, CSFA
Phone: 310-728-0918