EYECARE SPECIALISTS MEDICAL GROUP INC NPI 1871057786

NPI Information

NPI: 1871057786
Provider Name: EYECARE SPECIALISTS MEDICAL GROUP, INC

Doing Business As: ATLANTIS EYECARE

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
229 E BEVERLY BLVD
MONTEBELLO, CA
ZIP 90640
Phone: (323) 647-3350
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EYECARE SPECIALISTS MEDICAL GROUP, INC is an ambulatory surgical clinic center in Montebello, CA. EYECARE SPECIALISTS MEDICAL GROUP, INC NPI is 1871057786. The provider is registered as an organization entity type.
The provider Is Doing Business As Atlantis Eyecare.

The provider's business location address is:

229 E BEVERLY BLVD
MONTEBELLO, CA
ZIP 90640-776
Phone: (323) 647-3350
Fax: (323) 874-4368

The provider's authorized official is Felisa Marisol Galindo .
The authorized official title is Credentialing Supervisor and has the following contact phone number (626) 305-9100.

The CLIA number assigned to this NPI record is 05D1097693 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2019 and was last updated on 11/28/2022.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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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