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Organization
JULES STEIN EYE INSTITUTE MEDICAL GROUP
Active
Organization
JULES STEIN EYE INSTITUTE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN SHIBAYAMA MD (MD)
(310) 825-5000
Entity
Organization
Contact information
Practice address
200 STEIN PLAZA SUITE 2-525, LOS ANGELES, CA 90095-0001
(310) 825-5000
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-3090
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
CA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/19/2014
Last updated
07/12/2024
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