Southern California Retina Specialists, INC.
Ophthalmology in West Hills, CA. Organization (NPI-2).
NPI number1407214489
StatusActive
Last updated in NPPESFeb 4, 2016
Details
- NPI
- 1407214489
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern California Retina Specialists, INC.
- Organization subpart
- No
- Enumeration date
- Feb 4, 2016
- Last updated
- Feb 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | A79690 | CA | Yes |
Practice location
7320 Woodlake AveSuite 360
West Hills, CA 91307-1468
Phone 818-884-9378 · Fax 818-884-9407
Mailing address
7320 Woodlake AveSuite 360
West Hills, CA 91307-1468
Phone 818-884-9378 · Fax 818-884-9407
Authorized official
David S Kim
President
8188849378
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