Organization
NORTH VALLEY EYE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELISE LEVINE (ADMINISTRATOR)
(818) 365-0606
Entity
Organization
Contact information
Practice address
11550 INDIAN HILLS RD, SUITE 341, MISSION HILLS, CA 91345-1200
(818) 365-0606
(818) 898-0205
Mailing address
11550 INDIAN HILLS RD, SUITE 341, MISSION HILLS, CA 91345-1200
(818) 365-0606
(818) 898-0205
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0870750001
DMERC PROVIDER NUMBER
CA
Enumeration date
11/20/2006
Last updated
08/22/2020
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