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NPI Profile for WEST COAST RETINA MEDICAL GROUP INC in SAN FRANCISCO, CA.
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Retina Specialist |
207WX0107X | 18 | Physician/Ophthalmology | |
Ophthalmology |
207W00000X | 18 | Physician/Ophthalmology | |
Uveitis and Ocular Inflammatory Disease |
207WX0108X | 18 | Physician/Ophthalmology |
| NPI Number | 1053389064 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/08/2006 | |
| Last updated | 02/03/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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WEST COAST RETINA MEDICAL GROUP, INC.
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WEST COAST RETINA MEDICAL GROUP, INC.