# JULES STEIN EYE INSTITUTE MEDICAL GROUP

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

## Provider details

- **NPI number:** 1881011567
- **Authorized official:** VIVIAN SHIBAYAMA MD (MD)
- **Authorized official phone:** (310) 825-5000

## Contact information

- **Practice address:** 200 STEIN PLAZA SUITE 2-525, LOS ANGELES, CA 90095-0001
- **Practice address phone:** (310) 825-5000
- **Mailing address:** 5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
- **Mailing address phone:** (310) 825-3090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | CA | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/19/2014
- **Last updated:** 07/12/2024