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NORTHERN CALIFORNIA RETINA VITREOUS ASSOCIATES MEDICAL GROUP INC. NPI 1538275920


NPI Information

NPI: 1538275920
Provider Name: NORTHERN CALIFORNIA RETINA VITREOUS ASSOCIATES MEDICAL GROUP, INC.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D1068684

Address:
2485 HOSPITAL DR
SUITE 200
MOUNTAIN VIEW, CA
ZIP 94040
Phone: (650) 988-7480
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NORTHERN CALIFORNIA RETINA VITREOUS ASSOCIATES MEDICAL GROUP, INC. is a specialist in Mountain View, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHERN CALIFORNIA RETINA VITREOUS ASSOCIATES MEDICAL GROUP, INC. NPI is 1538275920. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2485 HOSPITAL DR
SUITE 200
MOUNTAIN VIEW, CA
ZIP 94040-101
Phone: (650) 988-7480
Fax: (650) 988-7482

The provider's authorized official is Alba Cuneo .
The authorized official title is Office Manager and has the following contact phone number (650) 988-7480.

The CLIA number assigned to this NPI record is 05D1068684 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

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: 4/28/2024

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