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Organization

CALIFORNIA RETINA CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT L AVERY MD (CEO)
(661) 325-4393
Entity
Organization

Contact information

Practice address
5555 BUSINESS PARK S STE 100, BAKERSFIELD, CA 93309-1678
(661) 325-4393
(661) 322-8489
Mailing address
525 E MICHELTORENA ST, SUITE A, SANTA BARBARA, CA 93103-2254
(805) 963-1648
(805) 965-5214

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0091152
CA
01
ZZZ05252Z
BLUE SHIELD GROUP #
CA
Enumeration date
02/15/2007
Last updated
07/20/2022
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