Organization · Type 2 NPI

Retina Institute of California Medical Group

Specialist · Palm Desert, CA

NPI number 1104219286 Active

Practice location

44139 Monterey Ave, Suite A
Palm Desert, CA 92260-8700

Fax (760) 779-0801

Mailing address

100 E California Blvd
Pasadena, CA 91105-3205

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000XA69909 (CA)
Specialist Primary 174400000XA69909 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

7 other providers at this address

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About NPI 1104219286

Retina Institute of California Medical Group's National Provider Identifier is 1104219286, issued on Mar 12, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Palm Desert, CA. The record was last updated on Mar 12, 2015.