NPI 1730292541 · live from the CMS NPI Registry
Advanced Retina Associates Medical Group, INC
Ophthalmology in Reseda, CA. National Provider Identifier 1730292541, active.
NPI record
| NPI | 1730292541 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 17750 Sherman Way, Suite 100, Reseda, CA 91335 |
| Practice phone | 818-886-6700 |
| Enumerated | August 16, 2006 |
| Last updated | November 13, 2017 |
| Authorized official | Sanjay Logani, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | OPT015370TLG (CA) |
| Ophthalmology primary | 207W00000X | G73456 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.