NPI 1114540077 · live from the CMS NPI Registry
De La Pena Eye Clinic, A Medical Group, INC
Ophthalmology in Whittier, CA. National Provider Identifier 1114540077, active.
NPI record
| NPI | 1114540077 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 7749 Painter Ave, Whittier, CA 90602 |
| Practice phone | 323-728-5500 |
| Mailing address | 401 Commerce St Ste 600, Nashville, TN 37219 |
| Enumerated | May 26, 2020 |
| Last updated | May 26, 2020 |
| Authorized official | Mark Kelly, Member, Board Of Managers |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.