RETINA LOS ANGELES – NPI #1134845837
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Health Care Provider Taxonomy Code for Ophthalmology

RETINA LOS ANGELES is an ophthalmologist located in ENCINO, CA. NPPES has assigned the NPI number 1134845837 to RETINA LOS ANGELES on October 13, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was previously updated about 3 years ago on Jun 08, 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 RETINA LOS ANGELES below.

NPI Profile for
RETINA LOS ANGELES

NPI Number
1134845837
Enumeration Date

(more than 3 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
RETINA LOS ANGELES
Primary location
5400 BALBOA BLVD STE 126
ENCINO, CA 91316-5202
Phone: (818) 578-0004 Fax: (818) 578-0002
1 Other location(s):
2031 W Alameda Ave Ste 300
Burbank, CA 91506-2960
Phone: (818) 762-0647 Ext: 106
Fax: (818) 754-5349
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STAVROS MOYSIDIS
PARTNER / PHYSICIAN
Phone: (818) 578-0004
Updated
Certification Date
Jun 08, 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
207WX0107X
- Ophthalmology / Retina Specialist (Primary)
207W00000X
- Ophthalmology

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
www.RetinaLosAngeles.com
Endpoint type
CONNECT URL
Endpoint Description
WEBSITE
Content Type
OTHER
Affiliation
N
Endpoint Location
5400 BALBOA BLVD STE 126,
ENCINO, CA 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
5400 BALBOA BLVD STE 126,
ENCINO, CA 77025-1669