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DOHENY EYE MEDICAL GROUP NPI 1134159148


NPI Information

NPI: 1134159148
Provider Name: DOHENY EYE MEDICAL GROUP
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1450 SAN PABLO ST
SUITE 4000
LOS ANGELES, CA
ZIP 90033
Phone: (323) 442-7155
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DOHENY EYE MEDICAL GROUP is a clinic center in Los Angeles, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DOHENY EYE MEDICAL GROUP NPI is 1134159148. The provider is registered as an organization entity type.

The provider's business location address is:

1450 SAN PABLO ST
SUITE 4000
LOS ANGELES, CA
ZIP 90033-500
Phone: (323) 442-7155
Fax: (323) 442-7158

The provider's authorized official is Ronald E Smith .
The authorized official title is President and has the following contact phone number (323) 442-6425.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 2/26/2008.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0059893MEDICAIDCALIFORNIA
2ZZZ51610ZMEDICARE PINCALIFORNIA
3GR0059894MEDICAIDCALIFORNIA
4GR0059891MEDICAIDCALIFORNIA
5W11993DMEDICARE PINCALIFORNIA
6W11993MEDICARE PINCALIFORNIA
7ZZZ7157ZOTHERCALIFORNIABLUE SHIELD
8ZZZ19741ZMEDICARE PINCALIFORNIA
9W11993AMEDICARE PINCALIFORNIA
10CD3981MEDICARE PINCALIFORNIA
11W11993BMEDICARE PINCALIFORNIA
12GR0059895MEDICAIDCALIFORNIA
13GR0059890MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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