Retina Institute Of California Medical Group is a
Specialist based in Encino, California. Retina Institute Of California Medical Group is licensed to practice in California (license number A69909) and their current practice location is
5400 Balboa Blvd, 222, Encino, California. It can be reached at their office (for appointments etc.) via phone at
(818) 990-0070.
NPI number for Retina Institute Of California Medical Group is 1659764710 and their current mailing address is 100 E California Blvd, Pasadena, California. Retina Institute Of California Medical Group
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1659764710.
Healthcare Provider's Profile
| Full Name | Retina Institute Of California Medical Group |
|---|
| Type | Facility |
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| Speciality | Specialist |
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| Location | 5400 Balboa Blvd, Encino, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659764710
- Provider Enumeration Date: 03/13/2015
- Last Update Date: 03/13/2015
Medical Identifiers
Medical identifiers for Retina Institute Of California Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659764710 | NPI | - | NPPES |
| 1760541569 | Other | CA | GROUP NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | A69909 (California) | Secondary |
| 174400000X | Specialist | A69909 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Retina Institute Of California Medical Group is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Retina Institute Of California Medical Group
100 E California Blvd,
Pasadena, CA 91105-3205
Ph: (626) 568-8868 | Retina Institute Of California Medical Group
5400 Balboa Blvd, 222,
Encino, CA 91316-1502
Ph: (818) 990-0070 |
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