# PAUL B DONZIS MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eye Institute of Marina del Rey
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720184666
- **Authorized official:** PAUL B DONZIS MD (PRESIDENT OWNER)
- **Authorized official phone:** (310) 822-0022

## Contact information

- **Practice address:** 4644 LINCOLN BLVD, \#102, MARINA DEL REY, CA 90292-6374
- **Practice address phone:** (310) 822-0022
- **Practice address fax:** (310) 822-9636
- **Mailing address:** 4644 LINCOLN BLVD, \#102, MARINA DEL REY, CA 90292-6374
- **Mailing address phone:** (310) 822-0022
- **Mailing address fax:** (310) 822-9636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A42774 | CA | Yes |
| 207W00000X | Ophthalmology Physician | A71125 | CA | — |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 08/22/2020