# MALONEY-SHAMIE VISION INSTITUTE

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

## Provider details

- **NPI number:** 1922501154
- **Authorized official:** PAMELA D SULLIVAN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (310) 208-3937

## Contact information

- **Practice address:** 10921 WILSHIRE BLVD STE 900, LOS ANGELES, CA 90024-4003
- **Practice address phone:** (310) 415-6627
- **Practice address fax:** (310) 208-0169
- **Mailing address:** 10921 WILSHIRE BLVD STE 900, LOS ANGELES, CA 90024-4003
- **Mailing address phone:** (310) 415-6627
- **Mailing address fax:** (310) 208-0169

## Taxonomy

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

## Other

- **Enumeration date:** 03/14/2018
- **Last updated:** 04/02/2019