Individual provider · Type 1 NPI

Moritz Sebastian Pettenkofer, MD

Retina Specialist (Ophthalmology) Physician · Los Angeles, CA

NPI number 1194455188 Active

Practice location

200 Stein Plaza Driveway 3rd Floor
Los Angeles, CA 90095-0001

Call (310) 206-5004 Map

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Retina Specialist (Ophthalmology) Physician Primary 207WX0107XSPI621 (CA)

Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

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About NPI 1194455188

Moritz Sebastian Pettenkofer, MD's National Provider Identifier is 1194455188, issued on Jun 13, 2022. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 28, 2022.