# EYE INSTITUTE OF SOUTHERN CALIFORNIA, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1801272398
- **Authorized official:** SHADEN SARAFZADEH M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (818) 300-7304

## Contact information

- **Practice address:** 16311 VENTURA BLVD STE 955, ENCINO, CA 91436-4339
- **Practice address phone:** (818) 650-2000
- **Practice address fax:** (818) 884-0231
- **Mailing address:** 16311 VENTURA BLVD STE 955, ENCINO, CA 91436-4339
- **Mailing address phone:** (818) 650-2000
- **Mailing address fax:** (818) 884-0231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A120299 | CA | Yes |

## Other

- **Enumeration date:** 08/06/2015
- **Last updated:** 08/07/2015