Organization
CALIFORNIA RETINA CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LOGAN AVERY MD (CHIEF EXECUTIVE OFFICER)
(805) 963-1648
Entity
Organization
Contact information
Practice address
1050 LAS TABLAS RD, SUITE C, TEMPLETON, CA 93465-9729
(805) 434-5450
Mailing address
515 E MICHELTORENA ST, SUITE C, SANTA BARBARA, CA 93103-2257
(805) 963-1648
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
03/03/2008
Last updated
03/04/2022
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