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Organization
VALLEY RETINA ASSOCIATES MEDICAL GROUP, P.C.
Active
Organization
VALLEY RETINA ASSOCIATES MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY FLEMING COE (ADMINISTRATOR)
(818) 788-9333
Entity
Organization
Contact information
Practice address
16500 VENTURA BLVD, SUITE 250, ENCINO, CA 91436-2011
(818) 788-9333
(818) 788-9273
Mailing address
16500 VENTURA BLVD, SUITE 250, ENCINO, CA 91436-2011
(818) 788-9333
(818) 788-9273
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G69965
CA
Other
Enumeration date
01/17/2007
Last updated
02/27/2008
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