NPI 1285412007 · live from the CMS NPI Registry
De La Pena Eye Clinic, A Medical Group, INC.
Ophthalmology in Long Beach, CA. National Provider Identifier 1285412007, active.
NPI record
| NPI | 1285412007 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1760 Termino Ave Ste 306, Long Beach, CA 90804 |
| Practice phone | 323-728-5500 |
| Mailing address | Attn Licensing, 401 Commerce Street, Suite 600, Nashville, TN 37219 |
| Enumerated | September 21, 2023 |
| Last updated | September 21, 2023 |
| Authorized official | George Ard, President, Board Of Managers |
| Other names | Dlp Eye Group |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.