DE LA PENA EYE CLINIC, AMG, INC – NPI #1306850250
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

DE LA PENA EYE CLINIC, AMG, INC is an ophthalmologist located in LOS ANGELES, CA. NPPES has assigned the NPI number 1306850250 to DE LA PENA EYE CLINIC, AMG, INC on July 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DE LA PENA EYE CLINIC, AMG, INC” is a dba name, the actual legal business name for this organization is DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 6 years ago on Feb 18, 2020. 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 DE LA PENA EYE CLINIC, AMG, INC below.

NPI Profile for
DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC

NPI Number
1306850250
Enumeration Date

(about 20 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
DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC
Doing Business As (dba): DE LA PENA EYE CLINIC, AMG, INC
Primary location
139 S ALVARADO ST
LOS ANGELES, CA 90057
Phone: (213) 484-0170 Fax: (213) 484-0246
Mailing address
401 COMMERCE ST STE 600
NASHVILLE, TN 37219-2518
Phone: (615) 345-6900 Fax:
Organization Subpart
No
Authorized Official
MARK KELLY
MEMBER, BOARD OF MANAGERS
Phone: (615) 345-6900
Updated
Certification Date
Feb 18, 2020

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
207W00000X
- Ophthalmology (Primary)
152W00000X
- Optometrist

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.