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Organization

NEW VISION MEDICAL GROUP INC PROFESSIONAL CORP

Active
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Organization

NEW VISION MEDICAL GROUP INC PROFESSIONAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RODNEY DANIEL COLLINS M.D. (PRESIDENT)
(310) 360-7690
Entity
Organization

Contact information

Practice address
8484 WILSHIRE BLVD, SUITE 200, BEVERLY HILLS, CA 90211-3227
(310) 360-7690
(310) 360-9613
Mailing address
8484 WILSHIRE BLVD, SUITE 200, BEVERLY HILLS, CA 90211-3227
(310) 360-7690
(310) 360-9613

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—

Other

Enumeration date
01/18/2012
Last updated
05/24/2016
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