# IRINA GANELIS, M.D., P.C.

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

## Provider details

- **NPI number:** 1609155084
- **Authorized official:** DR. IRINA BYKHOVSKAYA GANELIS M.D. (PRESIDENT)
- **Authorized official phone:** (310) 773-3396

## Contact information

- **Practice address:** 16661 VENTURA BLVD, SUITE 523, ENCINO, CA 91436-1914
- **Practice address phone:** (818) 394-0003
- **Practice address fax:** (206) 350-1012
- **Mailing address:** 9663 SANTA MONICA BLVD \# 396, BEVERLY HILLS, CA 90210-4303
- **Mailing address phone:** (310) 773-3396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2011
- **Last updated:** 06/01/2012