California Retina Consultants

LBN: California Retina Consultants
California Retina Consultants is an health care organization with primary practice located at 1510 E Main St Suite 103, Santa Maria CA 93454-4825. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty. California Retina Consultants can be contacted via phone (805) 922-2068, or through Avery, Robert L via phone (805) 963-1648.

Contact Information

Primary practice address
1510 E Main St Suite 103 Santa Maria CA 93454-4825
Phone: (805) 922-2068
Fax: (805) 880-5915
Website:
Map and Directions
Authorized official contact:
Name: Avery, Robert L Doctor of Medicine (MD)
Phone: (805) 963-1648

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1265575591
LBN Legal business name California Retina Consultants
DBA Doing business as
Authorized official Avery, Robert L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265575591 NPPES
California Other ZZZ60752Z BLUE SHIELD GROUP #
California MEDICAID GR0091151 BLUE SHIELD GROUP #

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