Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GLENDALE RETINA ASSOCIATES MEDICAL GROUP INC.
Active
Organization
GLENDALE RETINA ASSOCIATES MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY LOGANI MD (PRESIDENT)
(818) 886-6700
Entity
Organization
Contact information
Practice address
1025 N BRAND BLVD, SUITE 200, GLENDALE, CA 91202-2950
(818) 230-2140
(818) 230-2148
Mailing address
1025 N BRAND BLVD, SUITE 200, GLENDALE, CA 91202-2950
(818) 230-2140
(818) 230-2148
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104990
—
CA
Enumeration date
08/16/2006
Last updated
09/21/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers