Vitreo-Retinal Associates Medical Group
LBN: Vitreo-Retinal Associates Medical Group
Vitreo-Retinal Associates Medical Group is an health care organization with primary practice located at 800 Fairmount Ave Ste 120 , Pasadena CA 91105-3151. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Vitreo-Retinal Associates Medical Group can be contacted via phone (626) 440-9920, or through Kondra, Lawrence Joseph via phone (626) 440-9920.
Contact Information
Primary practice address
800 Fairmount Ave Ste 120
Pasadena CA 91105-3151
Phone: (626) 440-9920
Fax: (626) 440-0351
Website:
Authorized official contact:
Name: Kondra, Lawrence Joseph Doctor of Medicine (MD)
Phone: (626) 440-9920
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1245269356 |
|---|---|
| LBN Legal business name | Vitreo-Retinal Associates Medical Group |
| DBA Doing business as | |
| Authorized official | Kondra, Lawrence Joseph Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Jan 2nd, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245269356 | NPPES |
| California | Other | 180003746 | MEDICARE RAILROAD |
| California | Other | CS9651 | MEDICARE RAILROAD |
| California | MEDICAID | GR0046200 | MEDICARE RAILROAD |
| California | Other | W11190 | MEDICARE RAILROAD |
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