California Retina Consultants
Ophthalmology, Retina Specialist in Bakersfield, CA. Organization (NPI-2).
NPI number1083757322
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1083757322
- Entity type
- Organization (NPI-2)
- Legal business name
- California Retina Consultants
- Organization subpart
- No
- Enumeration date
- Feb 15, 2007
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207WX0107X | Ophthalmology, Retina Specialist | – | – | Yes |
| 174400000X | Specialist | – | – |
Practice location
5555 Business Park S Ste 100Bakersfield, CA 93309-1678
Phone 661-325-4393 · Fax 661-322-8489
Mailing address
525 E Micheltorena StSuite A
Santa Barbara, CA 93103-2254
Phone 805-963-1648 · Fax 805-965-5214
Authorized official
Robert L Avery
Ceo
6613254393
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