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institution
Mayo Retina, Inc.
Ophthalmologic Surgery Clinic/Center in Fountain Valley, California
NPI 1851561716

Mayo Retina, Inc. is a Ophthalmologic Surgery Clinic/Center based in Huntington Beach, CA and is specialized in Ophthalmologic Surgery. Mayo Retina, Inc. practices in Fountain Valley, CA. The NPI Number for Mayo Retina, Inc. is 1851561716 and holds a License No. 20A9551 (California).

The current practice location address for Mayo Retina, Inc. is 16543 Brookhurst St, Fountain Valley, CA and can be reached out via phone at 714-475-8612.

Location: 16543 Brookhurst St, Fountain Valley, CA, 92648-4519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851561716
Provider Name
Mayo Retina, Inc.
Credential
Provider Entity Type
Organization
Address
16543 Brookhurst St, Fountain Valley, CA, 92648-4519
Phone Number
714-475-8612
Fax Number
Provider Enumeration Date
03/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16543 Brookhurst St
City
Fountain Valley
State
California
Zip
92708-2343
Phone Number
714-475-8612
Fax Number
person
Provider Business Mailing Address Details
Address
16543 Brookhurst St
City
Fountain Valley
State
California
Zip
92708-2343
Phone Number
714-475-8612
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
G83501 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ophthalmologic Surgery
Taxonomy
261QS0132X
License No.
20A9551 (California)
Definition
Definition to come...
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