Organization · Type 2 NPI

Retina Institute of California Medical Group, A California Medical Par

Specialist · La Quinta, CA

NPI number 1912390097 Active

Practice location

47474 Washington St
La Quinta, CA 92253-8846

Fax (760) 564-2577

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.

4 other providers at this address

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About NPI 1912390097

Retina Institute of California Medical Group, A California Medical Par's National Provider Identifier is 1912390097, issued on Mar 12, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in La Quinta, CA. The record was last updated on Mar 30, 2021.