Organization
VITREO-RETINAL MEDICAL GROUP, INC.
Active
Other names
Chcio Retina Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL PEARLMAN MD (PRESIDENT)
(916) 596-2027
Entity
Organization
Contact information
Practice address
2460 BEACON ST, CHICO, CA 95928-9224
(530) 899-2251
(530) 894-6122
Mailing address
3 PARK CENTER DR STE 210, SACRAMENTO, CA 95825-8341
(916) 596-2027
(916) 454-1036
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199873
DEPT OF LABOR WA - CHICO
WA
01
—
CP5300
RAILROAD MEDICARE
CA
05
—
GR0030324
—
CA
01
—
ZZZ31103Z
CHICO-WORKERS COMP
CA
01
—
ZZZ41244Z
BLUE SHIELD CA GROUP #
CA
Enumeration date
10/02/2006
Last updated
10/06/2023
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