DOCTOR RETINA – NPI #1487049185
Clinic/Center

DOCTOR RETINA is an AHC clinic located in BEVERLY HILLS, CA. NPPES has assigned the NPI number 1487049185 to DOCTOR RETINA on March 31, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0132X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ophthalmologic Surgery

The NPI profile was previously updated about 3 years ago on Jul 18, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DOCTOR RETINA below.

NPI Profile for
DOCTOR RETINA

NPI Number
1487049185
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DOCTOR RETINA
Primary location
8383 WILSHIRE BLVD STE 440
BEVERLY HILLS, CA 90211-2436
Phone: (310) 571-5026 Fax: (844) 373-8462
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MAZIAR LALEZARY
PRESIDENT/CEO
Phone: (310) 571-5026
Updated
Certification Date
Jul 18, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0132X
- Clinic/Center / Ophthalmologic Surgery (Primary)		 CA A120462

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.