California Retina Consultants, A Professional Medical Corporation

LBN: California Retina Consultants
California Retina Consultants, A Professional Medical Corporation is an health care organization with primary practice located at 525 E Micheltorena St Suite A, Santa Barbara CA 93103-2254. 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) 963-1648, or through Degrow, Paul Andre via phone (805) 966-7085.

Contact Information

Primary practice address
525 E Micheltorena St Suite A Santa Barbara CA 93103-2254
Phone: (805) 963-1648
Fax: (805) 965-5214
Website:
Map and Directions
Authorized official contact:
Name: Degrow, Paul Andre
Phone: (805) 966-7085

Health care specialties

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

Profile Details

NPI number 1386737617
LBN Legal business name California Retina Consultants
DBA Doing business as California Retina Consultants, A Professional Medical Corporation
Authorized official Degrow, Paul Andre
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated Jul 21st, 2022 - about 3 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 1386737617 NPPES
California Other ZZZ60751Z BLUE SHIELD GROUP #
California MEDICAID GR0087480 BLUE SHIELD GROUP #

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