NPI 1003968017 · live from the CMS NPI Registry
Advanced Eye Medical Group A Professional Corporation
Ophthalmology in Mission Viejo, CA. National Provider Identifier 1003968017, active.
NPI record
| NPI | 1003968017 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 26701 Crown Valley Parkway, Mission Viejo, CA 92691 |
| Practice phone | 949-582-1090 |
| Enumerated | January 18, 2007 |
| Last updated | April 1, 2015 |
| Authorized official | Ribhi Ghosheh, President Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | — (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.