Organization · Type 2 NPI
Retina Los Angeles
Retina Specialist (Ophthalmology) Physician · Encino, CA
NPI number
1134845837
Active
Practice location
5400 Balboa Blvd Ste 126
Encino, CA 91316-5202
Fax (818) 578-0002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | None listed |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | None listed |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
3 other providers at this address
About NPI 1134845837
Retina Los Angeles's National Provider Identifier is 1134845837, issued on Oct 13, 2022. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Encino, CA. The record was last updated on Jun 8, 2023.