# VALLEY RETINA ASSOCIATES MEDICAL GROUP, P.C.

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

## Provider details

- **NPI number:** 1548312838
- **Authorized official:** MS. TERRY FLEMING COE (ADMINISTRATOR)
- **Authorized official phone:** (818) 788-9333

## Contact information

- **Practice address:** 16500 VENTURA BLVD, SUITE 250, ENCINO, CA 91436-2011
- **Practice address phone:** (818) 788-9333
- **Practice address fax:** (818) 788-9273
- **Mailing address:** 16500 VENTURA BLVD, SUITE 250, ENCINO, CA 91436-2011
- **Mailing address phone:** (818) 788-9333
- **Mailing address fax:** (818) 788-9273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G69965 | CA | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 02/27/2008