Organization
EAST BAY RETINA CONSULTANTS A MEDICAL GROUP, INC.
Active
Other names
East Bay Retina Consultants, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SOON T LEE M.D. (CORPORATE VICE PRESIDENT)
(510) 444-1600
Entity
Organization
Contact information
Practice address
1401 WILLOW PASS RD, SUITE 120, CONCORD, CA 94520-7982
(925) 680-1600
(925) 680-1602
Mailing address
3300 TELEGRAPH AVE, OAKLAND, CA 94609-3028
(510) 444-1600
(510) 444-1828
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A44312
CA
Other
Enumeration date
04/27/2011
Last updated
02/29/2016
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