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
ADVANCED RETINA ASSOCIATES MEDICAL GROUP, INC
Active
Organization
ADVANCED RETINA ASSOCIATES MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY LOGANI M.D. (PRESIDENT)
(818) 886-6700
Entity
Organization
Contact information
Practice address
17750 SHERMAN WAY, SUITE 100, RESEDA, CA 91335
(818) 886-6700
(818) 886-6709
Mailing address
17750 SHERMAN WAY, SUITE 100, RESEDA, CA 91335
(818) 886-6700
(818) 886-6709
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT015370TLG
CA
207W00000X
Ophthalmology Physician
Primary
G73456
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0102220
—
CA
05
—
GR0102221
—
CA
05
—
GR0102222
—
CA
05
—
GR0102223
—
CA
Enumeration date
08/16/2006
Last updated
11/13/2017
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