# VITREO-RETINAL MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740437920
- **Authorized official:** DR. JOEL PEARLMAN M.D. (PRESIDENT)
- **Authorized official phone:** (916) 596-2027

## Contact information

- **Practice address:** 9381 E STOCKTON BLVD, STE 106, ELK GROVE, CA 95624-5068
- **Practice address phone:** (916) 714-5500
- **Practice address fax:** (916) 454-3603
- **Mailing address:** 3 PARK CENTER DR STE 210, SACRAMENTO, CA 95825-8341
- **Mailing address phone:** (916) 596-2027
- **Mailing address fax:** (866) 913-6557

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2008
- **Last updated:** 10/06/2023
