Organization
RETINA VISION CONSULTANTS 360
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRADEEP S. PRASAD MD (PARTNER)
(800) 841-5200
Entity
Organization
Contact information
Practice address
360 N BEDFORD DR FL 3, BEVERLY HILLS, CA 90210-5124
(800) 841-5200
Mailing address
360 N BEDFORD DR FL 3, BEVERLY HILLS, CA 90210-5124
(800) 841-5200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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