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Organization
THE RETINA PARTNERS
Active
Organization
THE RETINA PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAJIR DADGOSTAR M.D.,PHD. (VICE PRESIDENT)
(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
A90804
CA
Other
Enumeration date
01/18/2012
Last updated
01/05/2015
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