Provider Type Icon

CALIFORNIA EYE SPECIALISTS MEDICAL GROUP INC NPI 1699713099


NPI Information

NPI: 1699713099
Provider Name: CALIFORNIA EYE SPECIALISTS MEDICAL GROUP, INC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2100055

Address:
2619 E COLORADO BLVD STE 150
PASADENA, CA
ZIP 91107
Phone: (626) 793-4168
Get Directions

CALIFORNIA EYE SPECIALISTS MEDICAL GROUP, INC is a specialist in Pasadena, 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. CALIFORNIA EYE SPECIALISTS MEDICAL GROUP, INC NPI is 1699713099. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2619 E COLORADO BLVD STE 150
PASADENA, CA
ZIP 91107
Phone: (626) 793-4168
Fax: (626) 793-6256

The provider's authorized official is Payam Amini .
The authorized official title is Owner and has the following contact phone number (626) 463-1274.

The CLIA number assigned to this NPI record is 05D2100055 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 11/7/2022.


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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.