# CALIFORNIA'S ADVANCED INSTITUTE OF VISION MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1215928775
- **Authorized official:** HAROLD EDWARD HAND JR. MD (OPHTHALMOLOGY)
- **Authorized official phone:** (209) 474-2121

## Contact information

- **Practice address:** 1801 E MARCH LANE C350, STOCKTON, CA 95210-6674
- **Practice address phone:** (209) 474-2121
- **Practice address fax:** (209) 474-1181
- **Mailing address:** 1801 E MARCH LANE C350, STOCKTON, CA 95210-6674
- **Mailing address phone:** (209) 474-2121
- **Mailing address fax:** (209) 474-1181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0094060 | — | CA |