Organization · Type 2 NPI
Mayo Retina, Inc.
Ophthalmologic Surgery Clinic/Center · Garden Grove, CA
NPI number
1851561716
Active
Practice location
12665 Garden Grove Blvd Ste 300
Garden Grove, CA 92843-1917
Fax (657) 667-0819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 20A9551 (CA) |
| Ophthalmologic Surgery Clinic/Center Primary | 261QS0132X | G83501 (CA) |
Ophthalmologic Surgery Clinic/Center: Definition to come...
Another provider at this address
About NPI 1851561716
Mayo Retina, Inc.'s National Provider Identifier is 1851561716, issued on Mar 7, 2008. The primary taxonomy on file is Ophthalmologic Surgery Clinic/Center (261QS0132X), and the practice location is in Garden Grove, CA. The record was last updated on Jan 10, 2026.