# LOS ANGELES INSTITUTE FOR OPHTHALMIC SURGERY

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

## Provider details

- **NPI number:** 1275631434
- **Authorized official:** DAVID MICHAEL COLVARD M.D. (PRESIDENT)
- **Authorized official phone:** (818) 906-2929

## Contact information

- **Practice address:** 5363 BALBOA BLVD, SUITE 545, ENCINO, CA 91316-2805
- **Practice address phone:** (818) 906-2929
- **Practice address fax:** (818) 906-0567
- **Mailing address:** 5363 BALBOA BLVD, SUITE 545, ENCINO, CA 91316-2805
- **Mailing address phone:** (818) 906-2929
- **Mailing address fax:** (818) 906-0567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G39377 | CA | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 01/27/2010