# RETINA SAN DIEGO

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

## Provider details

- **NPI number:** 1235522319
- **Authorized official:** DR. ARASH MOZAYAN ISFAHANI M.D. (CEO)
- **Authorized official phone:** (760) 300-3270

## Contact information

- **Practice address:** 477 N EL CAMINO REAL STE C302, ENCINITAS, CA 92024-1354
- **Practice address phone:** (760) 300-3270
- **Mailing address:** 477 N EL CAMINO REAL STE C302, ENCINITAS, CA 92024-1354
- **Mailing address phone:** (760) 300-3270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A125387 | CA | Yes |

## Other

- **Enumeration date:** 03/12/2015
- **Last updated:** 05/17/2019