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Retinal Consultants Of Southern California Medical Group, Inc
Specialist in Westlake Village, California
NPI 1700807815

Retinal Consultants Of Southern California Medical Group, Inc is a Specialist based in Westlake Village, CA. Retinal Consultants Of Southern California Medical Group, Inc practices in Westlake Village, CA. The NPI Number for Retinal Consultants Of Southern California Medical Group, Inc is 1700807815 and holds a License No. G33939 (California).

The current practice location address for Retinal Consultants Of Southern California Medical Group, Inc is 1220 La Venta Dr, Westlake Village, CA and can be reached out via phone at 805-379-0200 and via fax at 805-496-5204.

Location: 1220 La Venta Dr, Westlake Village, CA, 91361-3703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700807815
Provider Name
Retinal Consultants Of Southern California Medical Group, Inc
Credential
Provider Entity Type
Organization
Address
1220 La Venta Dr, Westlake Village, CA, 91361-3703
Phone Number
805-379-0200
Fax Number
805-496-5204
Provider Enumeration Date
07/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP5288 01 CA RAILROAD MEDICARE
00G339391 05 CA
institution
Provider Business Practice Location Address Details
Address
1220 La Venta Dr
City
Westlake Village
State
California
Zip
91361-3703
Phone Number
805-379-0200
Fax Number
805-496-5204
person
Provider Business Mailing Address Details
Address
1220 La Venta Dr
City
Westlake Village
State
California
Zip
91361-3703
Phone Number
805-379-0200
Fax Number
805-496-5204
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G33939 (California)
Definition
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.
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