Organization · Type 2 NPI
Retina Institute of California Medical Group, A California Medical Par
Specialist · El Centro, CA
NPI number
1679966733
Active
Practice location
1420 Ocotillo Dr, D
El Centro, CA 92243-4254
Fax (760) 353-1153
Mailing address
100 Califronia Blvd
Pasadena, CA 91105-3205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | A69909 (CA) |
| Specialist Primary | 174400000X | A69909 (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.
3 other providers at this address
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About NPI 1679966733
Retina Institute of California Medical Group, A California Medical Par's National Provider Identifier is 1679966733, issued on Mar 13, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in El Centro, CA. The record was last updated on Mar 30, 2021.