# RETINA VISION CONSULTANTS 360

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124910856
- **Authorized official:** DR. PRADEEP S. PRASAD MD (PARTNER)
- **Authorized official phone:** (800) 841-5200

## Contact information

- **Practice address:** 360 N BEDFORD DR FL 3, BEVERLY HILLS, CA 90210-5124
- **Practice address phone:** (800) 841-5200
- **Mailing address:** 360 N BEDFORD DR FL 3, BEVERLY HILLS, CA 90210-5124
- **Mailing address phone:** (800) 841-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | — |

## Other

- **Enumeration date:** 07/17/2025
- **Last updated:** 07/17/2025