Organization · Type 2 NPI
Retina Institute of California Medical Group, A California Medical Par
Retina Specialist (Ophthalmology) Physician · Indio, CA
NPI number
1063009637
Active
Practice location
81893 Doctor Carreon Blvd Ste 2
Indio, CA 92201-5592
Fax (844) 897-3788
Mailing address
288 N Santa Anita Ave Ste 402
Arcadia, CA 91006-3183
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | None listed |
| Clinic/Center | 261Q00000X | None listed |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
About NPI 1063009637
Retina Institute of California Medical Group, A California Medical Par's National Provider Identifier is 1063009637, issued on Dec 29, 2020. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Indio, CA. The record was last updated on May 2, 2024.