# KERRY K. ASSIL, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Assil Eye Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467636365
- **Authorized official:** DR. KERRY K. ASSIL M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 453-8911

## Contact information

- **Practice address:** 2222 SANTA MONICA BLVD, SUITE 107, SANTA MONICA, CA 90404-2304
- **Practice address phone:** (310) 453-8911
- **Practice address fax:** (310) 453-2519
- **Mailing address:** 450 N ROXBURY DR, 3RD FLOOR, BEVERLY HILLS, CA 90210-4232
- **Mailing address phone:** (310) 453-8911
- **Mailing address fax:** (310) 453-2519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G62647 | CA | Yes |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 12/27/2007