WEST COAST RETINA MEDICAL GROUP INC. NPI 1053389064

NPI Information

WEST COAST RETINA MEDICAL GROUP, INC. is a retina specialist ophthalmology in San Francisco, CA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. WEST COAST RETINA MEDICAL GROUP, INC. NPI is 1053389064. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As West Coast Retina.

The provider's business location address is:

1445 BUSH ST
SAN FRANCISCO, CA
ZIP 94109-520
Phone: (415) 972-4600
Fax: (415) 975-0999

The provider's authorized official is Benjamin M Higginbotham .
The authorized official title is Coo and has the following contact phone number (415) 972-4626.

The CLIA number assigned to this NPI record is 05D2104668 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 2/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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