South Coast Eye Institute

LBN: Rose Eye Medical
South Coast Eye Institute is an health care organization with primary practice located at 3420 Bristol St Suite 700, Costa Mesa CA 92626-7170. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Rose Eye Medical can be contacted via phone (714) 957-0273, or through Rose, Michael R via phone (323) 221-6121.

Contact Information

Primary practice address
3420 Bristol St Suite 700 Costa Mesa CA 92626-7170
Phone: (714) 957-0273
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rose, Michael R G33914
Phone: (323) 221-6121

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G33914 California

Profile Details

NPI number 1972722932
LBN Legal business name Rose Eye Medical
DBA Doing business as South Coast Eye Institute
Authorized official Rose, Michael R G33914
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1972722932 NPPES
California MEDICAID GR0014311

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