SAN GABRIEL RETINA PC – NPI #1891264818
Ophthalmology

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

Health Care Provider Taxonomy Code for Ophthalmology

SAN GABRIEL RETINA PC is an ophthalmologist located in SAN GABRIEL, CA. NPPES has assigned the NPI number 1891264818 to SAN GABRIEL RETINA PC on November 19, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on Nov 05, 2024. 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 SAN GABRIEL RETINA PC below.

NPI Profile for
SAN GABRIEL RETINA PC

NPI Number
1891264818
Enumeration Date

(more than 7 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
SAN GABRIEL RETINA PC
Primary location
416 W LAS TUNAS DR STE 105
SAN GABRIEL, CA 91776-1236
Phone: (626) 262-2082 Fax: (626) 317-8128
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
YI JIANG
PRESIDENT
Phone: (626) 262-2082
Updated
Certification Date
Nov 05, 2024

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)

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.