De La Pena Eye Clinic, Amg, Inc

LBN: De La Pena Eye Clinic, A Medical Group, Inc
De La Pena Eye Clinic, Amg, Inc is an health care organization with primary practice located at 1520 N Grand Ave , Santa Ana CA 92701-2627. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. De La Pena Eye Clinic, A Medical Group, Inc can be contacted via phone (714) 558-1385, or through Kelly, Mark via phone (615) 345-6900.

Contact Information

Primary practice address
1520 N Grand Ave Santa Ana CA 92701-2627
Phone: (714) 558-1385
Fax: (714) 558-7269
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Mark
Phone: (615) 345-6900

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1831536481
LBN Legal business name De La Pena Eye Clinic, A Medical Group, Inc
DBA Doing business as De La Pena Eye Clinic, Amg, Inc
Authorized official Kelly, Mark
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2013
Last updated Feb 18th, 2020 - about 4 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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