Retina Institute Of California Medical Group, A California Medical Par
Optometrist · San Diego, CA
At a glance
4344 Convoy St Ste C2, San Diego, CA 92111-3737
NPPES record updated Mar 30, 2021. Public records can lag behind changes at a practice.
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Practice location
4344 Convoy St Ste C2San Diego, CA 92111-3737
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Optometrist
- Taxonomy code
- 152W00000X
- Enumeration date
- Mar 8, 2018
- Record updated
- Mar 30, 2021
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Optometrist
152W00000X · Primary
Ophthalmology
207W00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4344 Convoy St Ste C2San Diego, CA 92111-3737
- Phone
- (858) 565-8822
- Fax
- (858) 565-2449
Mailing address
100 E CALIFORNIA BLVDPASADENA, CA 911053205
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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