Cardiologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Chiropractor providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dentist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dermatologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Family Physician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
OB-GYN providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Ophthalmologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Orthopedic Surgeon providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Pediatrician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Physical Therapist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Podiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Psychiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dr. Elvira Klause, M.D., FACS, is a highly skilled, board-certified general surgeon specializing in hernia repair, hemorrhoids, laparoscopic surgery, abdominal surgery, robotic surgery, breast surgery, oncological procedures and dermatology procedures at her warm and personalized offices in San Clemente, CA. Praised by patients for her small-town hospitality and extreme quality of care, Dr. Klause brings over 15 years of experience in caring for the general, breast, advanced laparoscopic, robotic, colorectal, oncologic, skin cancer and hemorrhoid surgery needs of patients throughout South Orange County.
Dr. Klause earned a bachelor of science degree from UCLA in 1989. She received her medical training at the University of Missouri in Columbia in 1993 and completed her residency in surgery in 1999 at Martin Luther King Hospital. After earning the Chief Resident Award, she was chosen for a fellowship in trauma surgery and critical care from Martin Luther King Hospital in 2000.
In addition to providing quality care to her patients, Dr. Klause was also a clinical preceptor for the University of Southern California and a clinical associate professor for the Western University of Health Sciences Physician Assistant program for many years. She was also a member-at-large for Saddleback Memorial Medical Center from 2008–2010, and Chief of Surgery from 2013-2014 also was on the Cancer Committee and the Chart Review Committee.
Dr. Klause is a board-certified diplomat of the American Board of Surgery and a fellow of the American College of Surgeons. She holds hospital privileges at Saddleback Memorial Medical CenterLaguna Hills, Mission Hospital in Mission Viejo and Laguna Beach, Surgery Center at Saddleback, Foothill Ranch Surgery Center and the Laguna Niguel Surgery Center. She is a specialist at the highly advanced single-incision laparoscopic surgery method and Robotic assisted surgery.
Dr. Klause happily lives in South Orange County along with her loving husband and three children. In her free time, she loves being a supermom for her children by helping them with crafting adventures as well as cooking delicious gourmet meals.
“Dr. Klause did a wonderful job on my surgery. It was painful afterwards, as expected but two weeks later, I’m feeling so much better. I had gall bladder surgery and my gall bladder was so full of stones, they were being pushed into my liver! Yikes! Dr. Klause took care of the problem and I’m finally going to be pain free. Thank you Dr. Klause!”
Dr. Elvira Klause, MD
Surgeon
23961 Calle de la Magdalena
Suite 417
Laguna Hills, CA 92653
Dr. Robert Yavrouian, MD, is a board-certified surgeon specializing in colon and rectal surgery. Dr. Yavrouian has been serving the Southern California area for over a decade with offices in the Boyle Heights area of Los Angeles and Glendale, California.
Dr. Yavrouian is a Southern California native who attended the University of Southern California (USC), where he received his bachelor’s and master’s degrees in biomedical engineering. He earned his medical degree from Drexel University in Philadelphia and completed his general surgery training at San Joaquin General Hospital in Stockton, CA. He then returned to USC to complete his fellowship specializing in colon and rectal surgery.
He is trained to treat all aspects of colorectal health, including both benign and malignant conditions of the colon, rectum, and anus. Dr. Yavrouian’s clinical interests include hemorrhoids, proctology, colonoscopy, anal abscess and fistula, anal fissure, pilonidal disease, diverticular disease, rectal prolapse, colon and rectal cancer, and minimally invasive surgical techniques, including laparoscopic and robotic surgery.
He is an attending surgeon at Glendale Adventist Medical Center and White Memorial Medical Center. Dr. Yavrouian is a member of the American College of Surgeons, American Society of Colon and Rectal Surgeons, Northwest Society of Colon & Rectal Surgeons, and Armenian American Medical Society.
Dr. Yavrouian knows that visiting a surgeon for a colorectal problem can be both frightening and embarrassing. He and his staff are committed to providing patients with the best possible care in a warm, caring, and compassionate environment. Schedule an appointment by calling the nearest office or booking online today.
Board-Certified Orthopedic Surgeon Specializing in Foot and Ankle Disorders & Hip and Knee Replacements
Medical Degree
University of North Carolina, Chapel Hill, North Carolina Sarah Graham Kenan Scholarship John B. Graham Research Society
Internship
Medical College of Virginia, Richmond, Virginia
Orthopedic Residency
Medical College of Virginia, Richmond, Virginia
Orthopedic Fellowship
Duke University Medical Center, Durham, North Carolina
Research Presentations
Clinical and radiographic results of 227 consecutive primary total hip arthroplasties using a femoral component with proximal and distal precoating and built-on centralizers. Found significant association between initial cement mantle radiographic grade and mechanical loosening. Presentation at the 1999 North Carolina Orthopaedic Association Conference and at the 2000 John B. Graham Student Research Day.
Effect of barium sulfate particle size on production of IL-1, IL-6. and TNF-alpha. Found no difference in cytokine production between micro- and nano-sized particles exposed to mouse macrophages. 2003. Presentation at 2003 MCV Resident's Day.
Short term outcomes after tibial shaft fractures: a retrospective study at MCV hospital. Found that institutional data correlates with similar outcome studies in the trauma literature which included a low complication rate and a functional deficiencies in a majority of patients. 2005. Presentation at 2005 MCV Resident's Day.
Open reduction and internal fixation of the symptomatic type II accessory navicular. Found no significant difference between excision and ORIF of symptomatic accessory navicular bones. 2006. Video poster presentation at 2006 Summer AOFAS meeting. Presentation at 2006 North Carolina Orthopaedic Society Meeting. Poster presentation at 2007 American Academy of Orthopaedic Surgeons.
Publications
Scott A, Sabesan V, Saluta JR, Easley ME. Open reduction and internal fixation of the symptomatic type II accessory navicular. Foot Ankle Int. in press 2008.
Saluta JR, Nunley JA. Chapter: Percutaneous open reduction and internal fixation of fifth metatarsal base fractures. MIS Techniques in Orthopaedics. Springer. 2009. In press.
Saluta JR, Nunley JA. Ankle injuries in athletes. The Journal of Musculoskeletal Medicine. 23:195-201; 2006.
Saluta JR, Nunley JA. Foot and ankle rehabilitation success hinges on screening accuracy: Biomechanics. June, 2006.
Lectures
Grand Rounds: Five foot and ankle problems every doctor should know. Good Samaritan Hospital 4/05/2007. California Hospital Medical Center 4/08. St. Vincent Medical Center 5/08.
Grand Rounds: My Experience with Hip, Knee, and Ankle Arthritis. Good Samaritan Hospital. 1/16/2008.
Foot and Ankle Injuries in Running. Speaker at McDonalds Expo. Los Angeles Marathon. 2/29/08 and 3/01/08.
Advancements In Orthopaedics: Hip, Knee, and Ankle Technologies. Speaker. Stryker International. 3/19/08
Media
Care of the Foot and Ankle. Radio Manila. Consultant, Orthopaedic Surgeon. Health segment of one hour international radio talk show. Dec 2006.
Governor Schwarzenegger recovering from surgery. KABC-TV Los Angeles evening news. Consultant, Orthopaedic Surgeon. Dec 2006.
What Happens Next: When a Bone Breaks. Banner Caswell Productions. Television documentary. Consultant, Orthopaedic Surgeon. Veria channel, Dish network. Dec 2007.
Professional Affiliations
American Academy of Orthopaedic Surgeons
American Orthopaedic Foot and Ankle Society
Piedmont Orthopaedic Society
California Orthopaedic Association
Community
2008-2010 Official Medical Team Los Angeles Marathon
2008-2010 National Youth Leadership Forum Volunteer Speaker
January 2010 Medical Mission at California Medical Center in San Fernando, La Union, Philippines
2006 Member of Orthopaedic Trauma Team at California Hospital, Level 2 Trauma Center
Dr. Robert Yavrouian, MD, is a board-certified surgeon specializing in colon and rectal surgery. Dr. Yavrouian has been serving the Southern California area for over a decade with offices in the Boyle Heights area of Los Angeles and Glendale, California.
Dr. Yavrouian is a Southern California native who attended the University of Southern California (USC), where he received his bachelor’s and master’s degrees in biomedical engineering. He earned his medical degree from Drexel University in Philadelphia and completed his general surgery training at San Joaquin General Hospital in Stockton, CA. He then returned to USC to complete his fellowship specializing in colon and rectal surgery.
He is trained to treat all aspects of colorectal health, including both benign and malignant conditions of the colon, rectum, and anus. Dr. Yavrouian’s clinical interests include hemorrhoids, proctology, colonoscopy, anal abscess and fistula, anal fissure, pilonidal disease, diverticular disease, rectal prolapse, colon and rectal cancer, and minimally invasive surgical techniques, including laparoscopic and robotic surgery.
He is an attending surgeon at Glendale Adventist Medical Center and White Memorial Medical Center. Dr. Yavrouian is a member of the American College of Surgeons, American Society of Colon and Rectal Surgeons, Northwest Society of Colon & Rectal Surgeons, and Armenian American Medical Society.
Dr. Yavrouian knows that visiting a surgeon for a colorectal problem can be both frightening and embarrassing. He and his staff are committed to providing patients with the best possible care in a warm, caring, and compassionate environment. Schedule an appointment by calling the nearest office or booking online today.
Trevan Fischer, MD, FACS, specializes in complex general surgical oncology and is certified by the American Board of Surgery. Dr. Fischer is an experienced surgeon who offers patients in Santa Monica, Los Angeles, Fullerton, and Orange, California, the latest surgical techniques, including minimally invasive surgeries, to help in the battle against cancer. His thorough understanding of the nature of cancer allows him to perform complex surgeries that help him diagnose and treat a number of conditions, including breast cancer, skin cancers, and soft tissue sarcomas.
Outside of his private practice, Dr. Fischer continually strives to stay on top of the latest techniques in treating cancer, and he’s involved with innovative clinical trials at the Saint John's Cancer Institute (formerly John Wayne Cancer Institute) in Santa Monica. He also serves as an assistant program director of the Donald L. Morton, MD Complex General Surgical Oncology Fellowship program at the Institute.
Dr. Fischer began his medical career at the University of Oklahoma in Oklahoma City, where he earned his medical degree in 2008. He completed his general surgery residency at the University of Florida in Gainesville in 2015, serving as chief resident from 2014-2015. In 2015, Dr. Fischer became a fellow at the John Wayne Cancer Institute, where he completed two years of specialized surgical oncology training.
To continue his education, Dr. Fischer is a member of the Society of Surgical Oncology, the American College of Surgeons, and the American Medical Association.
Over the course of his career, Dr. Fischer’s involvement in research and clinical trials has led to numerous articles, papers, and presentations in peer-reviewed publications and at national conferences.
Dr. Fischer is constantly exploring new ways to gain the upper hand on cancer through state-of-the-art surgical techniques and brings this experience to the Southern California area. He also accepts patients across all of Southern California, including Bakersfield, San Luis Obispo and Palm Springs.
Dr. Fischer now has expanded his practice to Orange County and sees patients at both Providence St. Joseph and St. Jude.
“Dr. Fischer is an outstanding doctor. I highly recommend him for so many reasons. He is a respectful, intelligent, kind and an all around great doctor.
I admire his expertise and professionalism. ”
Dr. Ghobrial is a Board Certified General Surgeon. He has over 20 years of experience in trauma, critical care and general surgery, with a special interest in advanced laparoscopic procedures. He is a highly skilled physician who utilizes the most advanced techniques and technology available today, such as Robotic Assisted Hernia Repair, to ensure the best surgical outcome for each patient.
Gergis Ghobrial, MD, is certified by the American Board of Surgery and is a Fellow of the Royal College of Surgeons in Ireland. He has been in private practice in Southern California since 1997. He is an active member at Long Beach Memorial Medical Center where he served as Chief of Surgery and is a member of the Board of Trustees.
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