# RETINA CONSULTANTS SAN DIEGO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Retina Consultants San Diego Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790736098
- **Authorized official:** JOCELIN ING (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (858) 500-7815

## Contact information

- **Practice address:** 12630 MONTE VISTA RD, SUITE 104, POWAY, CA 92064-2526
- **Practice address phone:** (858) 451-1911
- **Practice address fax:** (858) 451-0566
- **Mailing address:** 12630 MONTE VISTA RD, SUITE 104, POWAY, CA 92064-2526
- **Mailing address phone:** (858) 451-1911
- **Mailing address fax:** (858) 451-0566

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 02/06/2024