Organization
BEVERLY HILLS EYE MEDICAL GROUP, INC
Active
Other names
Laser Vision Medical Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES JOSEPH SALZ M.D. (PRESIDENT)
(310) 360-0609
Entity
Organization
Contact information
Practice address
240 S LA CIENEGA BLVD, SUITE 250, BEVERLY HILLS, CA 90211-3324
(310) 360-0609
(310) 360-0119
Mailing address
240 S LA CIENEGA BLVD, SUITE 250, BEVERLY HILLS, CA 90211-3324
(310) 360-0609
(310) 360-0119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G12365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W15140
MEDICARE GROUP NUMBER
CA
Enumeration date
05/03/2007
Last updated
08/22/2020
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