Valley Eye Center Surgical Med Grp

LBN: George M. Rajacich, M.D., Inc.
Valley Eye Center Surgical Med Grp is an health care organization with primary practice located at 14914 Sherman Way , Van Nuys CA 91405-2113. 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. George M. Rajacich, M.D., Inc. can be contacted via phone (818) 787-2020, or through Chung, Edward via phone (818) 275-0009.

Contact Information

Primary practice address
14914 Sherman Way Van Nuys CA 91405-2113
Fax: (818) 787-8652
Website:
Authorized official contact:
Name: Chung, Edward

Health care specialties

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

Profile Details

NPI number 1659378313
LBN Legal business name George M. Rajacich, M.D., Inc.
DBA Doing business as Valley Eye Center Surgical Med Grp
Authorized official Chung, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 22nd, 2023 - about last year

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 1659378313 NPPES
California MEDICAID GR0063313
California Other ZZZ91696Z

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