California Retina Consultants, NPI 1225171564
Retina Specialist (Ophthalmology) Physician in Valencia, CA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1225171564 |
| NPI Entity Type | Organization |
| Provider Name | California Retina Consultants |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 23501 Cinema Dr, Suite 109, Valencia, CA, US |
| Provider Mailing Address | 525 E Micheltorena St, Suite A, Santa Barbara, CA, US, 931032254 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MD Robert L Avery |
| Official Position | CEO |
| Phone | 805-963-1648 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Retina Specialist (Ophthalmology) Physician |
| Classification | |
| Group | |
| Description | An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| GR0091153 | CA | MEDICAID | 05 |
| ZZZ08204Z | CA | BLUE SHIELD GROUP # | 01 |
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