Advanced Retina Associates Medical Group, Inc

LBN: Advanced Retina Associates Medical Group, Inc
Advanced Retina Associates Medical Group, Inc is an health care organization with primary practice located at 17750 Sherman Way, Suite 100 , Reseda CA 91335. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Advanced Retina Associates Medical Group, Inc can be contacted via phone (818) 886-6700, or through Logani, Sanjay via phone (818) 886-6700.

Contact Information

Primary practice address
17750 Sherman Way, Suite 100 Reseda CA 91335
Phone: (818) 886-6700
Fax: (818) 886-6709
Website:
Map and Directions
Authorized official contact:
Name: Logani, Sanjay Doctor of Medicine (MD)
Phone: (818) 886-6700

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT015370TLG California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G73456 California

Profile Details

NPI number 1730292541
LBN Legal business name Advanced Retina Associates Medical Group, Inc
DBA Doing business as
Authorized official Logani, Sanjay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 13th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730292541 NPPES
California MEDICAID GR0102220
California MEDICAID GR0102223
California MEDICAID GR0102222
California MEDICAID GR0102221

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