Vitreo-Retinal Medical Group, Inc.

LBN: Vitreo-Retinal Medical Group, Inc.
Vitreo-Retinal Medical Group, Inc. is an health care organization with primary practice located at 3939 J St Ste 104 , Sacramento CA 95819-3631. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Vitreo-Retinal Medical Group, Inc. can be contacted via phone (916) 453-5450, or through Wendel, Robert T. via phone (916) 453-5450.

Contact Information

Primary practice address
3939 J St Ste 104 Sacramento CA 95819-3631
Fax: (916) 454-1015
Website:
Authorized official contact:
Name: Wendel, Robert T. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1770646119
LBN Legal business name Vitreo-Retinal Medical Group, Inc.
DBA Doing business as
Authorized official Wendel, Robert T. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Jan 25th, 2008 - about 17 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 1770646119 NPPES
California Other CP5300 RAILROAD MEDICARE
California MEDICAID GR0030322 RAILROAD MEDICARE
California Other 199873 RAILROAD MEDICARE
California MEDICAID GR0030323 RAILROAD MEDICARE
California MEDICAID GR0030320 RAILROAD MEDICARE
California Other CP5300 RAILROAD MEDICARE
California MEDICAID GR0030321 RAILROAD MEDICARE

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