RETINA CONSULTANTS OF ORANGE COUNTY A MEDICAL CORPORATION NPI 1770539702

NPI Information

  • NPI: 1770539702
  • Provider Name: RETINA CONSULTANTS OF ORANGE COUNTY, A MEDICAL CORPORATION
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Organization
  • CLIA Number: 05D2117777
  • Address: 301 W BASTANCHURY RD
    285
    FULLERTON, CA
    ZIP 92835
  • Phone: (714) 738-4620

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NPI Details

RETINA CONSULTANTS OF ORANGE COUNTY, A MEDICAL CORPORATION is a retina specialist ophthalmology in Fullerton, CA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA CONSULTANTS OF ORANGE COUNTY, A MEDICAL CORPORATION NPI is 1770539702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 W BASTANCHURY RD
285
FULLERTON, CA
ZIP 92835-419
Phone: (714) 738-4620
Fax: (714) 738-0388

The provider's authorized official is Scott Grant .
The authorized official title is President and has the following contact phone number (714) 738-4620.

The CLIA number assigned to this NPI record is 05D2117777 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 3/4/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0107XOphthalmologyRetina SpecialistG32479CALIFORNIAYes

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: 11/21/2025

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