Organization
RETINA LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAVROS N. MOYSIDIS M.D. (PARTNER / PHYSICIAN)
(818) 578-0004
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD STE 126, ENCINO, CA 91316-5202
(818) 578-0004
(818) 578-0002
Mailing address
5400 BALBOA BLVD STE 126, ENCINO, CA 91316-5202
(818) 578-0004
(818) 578-0002
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
06/08/2023
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