# AMERICAN EYE INSTITUTE A MEDICAL CORP

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

## Provider details

- **NPI number:** 1790891638
- **Authorized official:** KRISTIN NESBURN MD (PARTNER)
- **Authorized official phone:** (310) 801-5232

## Contact information

- **Practice address:** 6330 SAN VICENTE BLVD STE 408, LOS ANGELES, CA 90048-5462
- **Practice address phone:** (310) 652-1133
- **Mailing address:** 6330 SAN VICENTE BLVD STE 408, LOS ANGELES, CA 90048-5462
- **Mailing address phone:** (310) 652-1133
- **Mailing address fax:** (310) 652-2372

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 08/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR00781802 | — | CA |